Dental
Outreach Dental, LLC
Outreach Dental, LLC was paid $186K by Medicaid between Jan 2018 and Mar 2020, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 18% of everything it billed.
33Billing provider infoOUTREACH DENTAL, LLC
GALLUP, NM 87301
GALLUP, NM 87301
33aNPI1982033700assigned 11/02/2013
33bProvider typeDentist
28Total paid$186K
24GClaims9,198
24DCodes billed12
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Dentist providers in New Mexico
Rank by total paid#57 of 179
Median peer was paid$47K
This provider vs. median4.0×
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 | 3,978 | $80K | |
| 2019 | 4,778 | $98K | |
| 2020 | 442 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 1,285 | 1,245 | $34K |
| D0272 | Bitewings - two radiographic images | 15% | 1,377 | 1,348 | $28K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 1,273 | 1,241 | $22K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 866 | 841 | $19K |
| D1351 | Sealant - per tooth | 9.3% | 747 | 361 | $17K |
| D0220 | Intraoral - periapical first radiographic image | 8.3% | 1,395 | 1,359 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.8% | 430 | 425 | $15K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.3% | 1,479 | 1,294 | $14K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 4.7% | 119 | 102 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.6% | 120 | 97 | $7K |
| D2140 | 2.6% | 87 | 72 | $5K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.2% | 20 | 16 | $2K |
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 officialGRAHAM, STEPHEN (OWNER)