Dental
Great Outdoors Pediatric Dentistry
Great Outdoors Pediatric Dentistry was paid $365K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.
33Billing provider infoGREAT OUTDOORS PEDIATRIC DENTISTRY
DOVER, NH 03820
DOVER, NH 03820
33aNPI1831584929assigned 04/06/2015
33bProvider typePediatric Dentist
28Total paid$365K
24GClaims12,098
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in New Hampshire
Rank by total paid#15 of 36
Median peer was paid$260K
This provider vs. median1.4×
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 | |
|---|---|---|---|
| 2018 | 1,184 | $34K | |
| 2019 | 1,555 | $46K | |
| 2020 | 1,626 | $49K | |
| 2021 | 1,920 | $55K | |
| 2022 | 2,558 | $86K | |
| 2023 | 1,725 | $51K | |
| 2024incomplete | 1,530 | $44K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 30% | 3,132 | 2,940 | $108K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 2,725 | 2,590 | $80K |
| D1208 | Topical application of fluoride, excluding varnish | 17% | 3,648 | 3,408 | $62K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.1% | 315 | 170 | $33K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.1% | 569 | 511 | $30K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.7% | 557 | 502 | $21K |
| D0272 | Bitewings - two radiographic images | 5.5% | 818 | 764 | $20K |
| D1351 | Sealant - per tooth | 2.1% | 242 | 93 | $8K |
| D0140 | Limited oral evaluation - problem focused | <1% | 60 | 55 | $3K |
| D1310 | <1% | 32 | 25 | $380.00 |
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.
From NPPES
Who's on the registration
Authorized officialWILSON, PATRICK (OWNER, PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Presbyterian Pathology Group PLLC | Charlotte, NC | $1.59M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.