Outlaw, Desiree

Outlaw, Desiree was paid $6K by Medicaid between May 2019 and Feb 2020, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 50% of everything it billed.

33Billing provider infoOUTLAW, DESIREE
EAST HARTFORD, CT 06108

33aNPI1538644471assigned 09/26/2018

33bProvider typeGeneral Practice Dentistry

28Total paid$6K

24GClaims163

24DCodes billed4

24AFirst – last monthMay 2019 – Feb 2020

Compared with peers

Next to other General Practice Dentistry providers in Connecticut

Rank by total paid#329 of 431

Median peer was paid$79K

This provider vs. median0.1×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2019	146	$5K
2020	17	$985.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	50%	54	54	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	36%	79	79	$2K
D1120	Dental cleaning, childProphylaxis - child	11%	16	16	$688.00
D1206	Topical application of fluoride varnish	2.8%	14	14	$175.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.