Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Arkansas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Arkansas only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Arkansas (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Rock Dental Arkansas PLLC (NPI 1336659085)

Field	Value
Entity Type	Organization
Organization	Rock Dental Arkansas PLLC
Address	3320 Central Ave
City	Hot Springs
State	AR
ZIP	71913
Taxonomy	Dentist
NPI Enumerated	October 9, 2017

Payer Source	Total Paid
Medicaid	$128.8M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused dental operator: there is no Medicare billing on file and reported lifetime Medicaid revenue is $128.8M. The absence of Medicare activity means analyses of payer mix should treat ROCK DENTAL ARKANSAS PLLC as a single‑payer (Medicaid) enterprise for the dataset provided.

Revenue is highly concentrated: the precomputed top-3 Medicaid codes (D8080, D8670, D2930) together account for 42.8% of the provider's total Medicaid revenue. Individually those codes generate $20.1M (D8080, 16.6%), $16.1M (D8670, 13.3%), and $15.7M (D2930, 12.9%), indicating a small set of services drives a large share of receipts.

The billed code mix points to a high-volume preventive and basic restorative service line with substantial pediatric activity. Codes with clear descriptions such as D0120 (Periodic oral evaluation) with 342K claims and $8.5M revenue, D1120 (Prophylaxis–child) with 210.5K claims and $6.9M revenue, D1206 (Topical Fluoride Treatment) with 284.1K claims and $5.4M revenue, and D1351 (Sealant) with 95.5K claims and $2.4M revenue all reflect routine preventive workflows, while numerous restorative and radiographic codes (e.g., D0210, D0220, D2140/D2150) support a mixed preventive/restorative clinic model. Note that several top revenue drivers (D8080, D8670, D2930) are listed with "no description available" in the dataset, but their volumes and revenues place them among the core billed services.

Competitive standing in Arkansas is striking: across the top codes the provider regularly ranks at the top statewide, frequently listed as #1 of many providers and labeled an "extreme outlier." For example, D8080 ranks #1 of 33 providers (100th percentile; extreme outlier), D0120 ranks #1 of 774 providers (100th percentile; extreme outlier), and D8670 ranks #1 of 56 providers (100th percentile; extreme outlier), which collectively indicate dominant share of in‑state volume for multiple dental codes.

Operational scale is evident from very large claim counts on routine codes, consistent with centralized high-throughput clinics or multi-site operations. Representative volumes include 342K claims for D0120, 284.1K claims for D1206, 247.6K claims for D0272, and 174.8K claims for D0220, demonstrating consistently high per‑code throughput across exams, fluoride, and imaging services.

The provider’s revenue mix shows both low-unit-value, very high-volume preventive services and less frequent, higher‑unit-value procedures. Examples include lower average paid per claim items like D0220 at $16 avg paid/claim and D1206 at $19 avg paid/claim versus higher avg paid items such as D8080 at $689 avg paid/claim and D8999 at $1195 avg paid/claim (D8999 totals $2.4M on 2K claims), indicating a business model that pairs mass preventive care with occasional higher‑priced interventions.

Nearly all high-revenue codes are flagged as extreme outliers versus in‑state peers, and even the code listed at #2 (D3220) sits at the 98th percentile; this pattern implies the provider operates far above typical state volumes across a wide range of services. Across the top 25 Medicaid codes the repeated "100th percentile; extreme outlier" designation suggests market concentration rather than isolated spikes in single codes.

Tenure is relatively recent but long enough to scale: the NPI was enumerated 2017-10-09 (~9 years ago), which aligns with the observed build-up to $128.8M in Medicaid revenue and the large, established claim volumes. Analysts should consider that the provider achieved its current scale within that approximate nine-year window when assessing growth trajectory and competitive dynamics.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

59 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D8080	N/A	29,210	$690	$20.1M
D8670	N/A	150,850	$110	$16.1M
D2930	N/A	119,690	$130	$15.7M
D0120	Periodic oral evaluation - established patient	342,000	$30	$8.5M
D1120	Prophylaxis–child	210,510	$30	$6.9M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	139,980	$50	$6.3M
D7240	N/A	23,470	$240	$5.7M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	284,100	$20	$5.4M
D0272	N/A	247,620	$20	$5.2M
D0210	Intraoral - complete series of radiographic images	41,860	$70	$3.1M

Showing 1–10 of 59

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Arkansas providers billing the same CPT/HCPCS codes.

Claims Volume vs. Arkansas Distribution

Rock Dental Arkansas PLLC — 25 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arkansas

Full comparison — all codes billed, vs. Arkansas median

59 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8080	N/A	1	30	220	$650	$989.4K
D7240	N/A	1	40	1,050	$240	$623.2K
D8670	N/A	1	60	1,100	$110	$552K
D2930	N/A	1	110	570	$130	$481.4K
D8999	N/A	1	20	60	$1,180	$233.7K
D8070	N/A	2	10	600	$380	$159.3K
D0240	N/A	4	80	1,810	$20	$140.8K
D3220	N/A	2	60	250	$80	$124.5K
D9248	N/A	1	50	440	$90	$123.6K
D9223	N/A	1	40	500	$80	$113.5K

Showing 1–10 of 59

Related Providers

Other providers that share a Tax Identification Number (TIN) with Rock Dental Arkansas PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
J. Adam Hall Orthodontics, P.A.	AR	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.2M

Nearby Providers

Other providers in the same ZIP code as Rock Dental Arkansas PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Superior Senior Care	AR	In Home Supportive Care Agency	$0	$22.5M
Ouachita Regional Counseling & Mental Health Center, Inc.	AR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$22.4M
Chi St Vincent Hospital Hot Springs	AR	General Acute Care Hospital	$0	$16.4M
Chi St. Vincent Medical Group Hot Springs	AR	Specialist	$0	$13.8M
Tlc Home Care Of Arkansas	AR	In Home Supportive Care Agency	$0	$7M
Little Bitty City Therapeutic Services LLC	AR	Developmental Disabilities Clinic/Center	$0	$6.9M
Healthy Connections Incorporated	AR	Federally Qualified Health Center (FQHC)	$0	$5.5M
Abilities Unlimited Of Hot Springs Ar Inc	AR	Developmentally Disabled Services Day Training Agency	$0	$4.9M
A-o-m-s, PLLC	AR	Oral and Maxillofacial Surgery (Dentist)	$0	$4.2M
Stephen Divers	AR	Hematology & Oncology Physician	$3.9M	$1.5K

Rock Dental Arkansas PLLC — Billing Profile & Reimbursement Data

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Rock Dental Arkansas PLLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References