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 Kentucky for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Kentucky 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. Kentucky (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.

Arrow Dental PLLC (NPI 1427453711)

Field	Value
Entity Type	Organization
Organization	Arrow Dental PLLC
Address	3141 Beaumont Centre Cir
City	Lexington
State	KY
ZIP	40513
Taxonomy	Orthodontics and Dentofacial Orthopedics Dentistry
NPI Enumerated	October 29, 2014

Payer Source	Total Paid
Medicaid	$47M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only billing entity: lifetime Medicare revenue is listed as none while lifetime Medicaid revenue totals $47M, indicating the practice’s entire reported public-payer footprint is concentrated in Medicaid rather than Medicare. Analysts should treat ARROW DENTAL PLLC as a single-payer (Medicaid) operation for public-program comparisons and contracting considerations.

Revenue concentration is high: the top three Medicaid codes (D1120, D2392, D0150) together account for 38.6% of the provider’s Medicaid revenue. D1120 alone represents $9.7M or 21.0% of Medicaid revenue, followed by D2392 at $4.2M (9.1%) and D0150 at $3.9M (8.5%), so a substantial share of revenue is driven by a small set of high-volume preventive and restorative codes.

The coded service mix points to a high-volume pediatric/preventive and restorative practice footprint despite the NPI taxonomy of Orthodontics and Dentofacial Orthopedics Dentistry. Large volumes in child-focused preventive codes (D1120 – Prophylaxis–child at 179.7K claims, D1206 and D1208 topical fluoride codes, and D1351 sealants) alongside high counts for posterior composite restorations (D2392, D2391) and comprehensive evaluations (D0150) suggest the clinic delivers large-scale general/pediatric dental care within Medicaid.

State-level competitive standing is dominant for many services: D1120, D2392, and D0150 each rank #1 in-state and are labeled 100th percentile or “extreme outlier,” indicating ARROW DENTAL PLLC operates far above typical state volume for those codes. Multiple additional codes (e.g., D2930, D1206, D2391, D9230, D7140, D0120, D0272) also appear at 100th percentile ranks, reinforcing that this provider is a statewide outlier and a major participant for core pediatric and restorative services.

The practice demonstrates extremely high patient throughput for basic evaluations and imaging: D0150 shows 136K claims and D0272 shows 91.2K claims, while radiographic codes D0220 and D0230 represent 54.3K and 58.5K claims respectively. These volumes, paired with the large claim counts on prophylaxis and topical fluoride codes, indicate sustained high visit volumes and routine preventive workflows consistent with a large Medicaid pediatric panel.

While most high-revenue items are high-frequency, ARROW DENTAL PLLC also bills a smaller number of high-unit-value procedures that materially contribute to revenue: D8080 has 1.8K claims at an average paid/claim of $1893 generating $3.4M (rank #3, 96th percentile), and D8670 averages $933 per claim generating $1.3M. These higher-paid codes increase revenue diversification beyond pure volume-driven preventive care and signal occasional provision of more complex, higher-value services.

The provider’s NPI tenure (enumerated 2014-10-29, ~12 years ago) shows a stable presence in the market over a multi-year period, which aligns with the sustained, large-volume Medicaid billing profile seen across many codes. For payers and network planners, this tenure combined with extreme statewide volumes suggests an established operational scale rather than a short-term surge.

The combination of high concentration (top three codes = 38.6% of Medicaid revenue) and extensive statewide outlier status implies both opportunity and exposure: the practice enjoys a de facto specialty in high-volume pediatric preventive and restorative Medicaid services, but its revenue profile is sensitive to reimbursement or policy changes affecting those specific codes. Analysts should prioritize monitoring pediatric preventive, composite restoration, and evaluation code policies when assessing contract risk and network capacity tied to this provider.

Medicaid: Complete Services Breakdown

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

50 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	179,650	$50	$9.7M
D2392	Post 2 surface resin‑based composite	63,420	$70	$4.2M
D0150	Comprehensive oral evaluation – new or established patient	135,970	$30	$3.9M
D2930	N/A	33,470	$110	$3.8M
D8080	N/A	1,810	$1,890	$3.4M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	121,140	$20	$1.9M
D2391	Resin‑based composite – one surface, posterior	36,150	$50	$1.9M
D9230	N/A	52,690	$40	$1.8M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	33,200	$50	$1.8M
D0120	Periodic oral evaluation - established patient	74,980	$20	$1.7M

Showing 1–10 of 50

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kentucky Distribution

Arrow Dental PLLC — 24 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

50 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8080	N/A	3	60	140	$1,840	$742.6K
D8670	N/A	8	60	180	$610	$332K
D2930	N/A	1	160	610	$110	$228.6K
D1120	Prophylaxis–child	1	770	500	$50	$127.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1	520	560	$50	$85.2K
D2392	Post 2 surface resin‑based composite	1	630	420	$60	$74.5K
D9248	N/A	3	40	90	$70	$68.5K
D0150	Comprehensive oral evaluation – new or established patient	1	1,010	740	$30	$61.4K
D3220	N/A	1	100	280	$70	$56.8K
D9230	N/A	1	240	440	$30	$54.2K

Showing 1–10 of 50

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eric Huffman	KY	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$2.9M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Iraklis C Livas Md Psc	KY	Specialist	$0	$6M
Allergy Asthma & Sinus Center PLLC	KY	Allergy Physician	$0	$3.8M
Ashley Lane	KY	Optometrist	$14.4K	$355.1K
John Richard	KY	Family Medicine Physician	$346.6K	$0
Robert Boyer	KY	Occupational Medicine Physician	$200.2K	$0
Warren Chumley	KY	Clinical Neurophysiology Physician	$183.3K	$0
Joshua Duchesne	KY	Cardiovascular Disease Physician	$128.9K	$0
Samuel Pruden	KY	MOHS-Micrographic Surgery Physician	$104.9K	$10.5K
Wendell Miers	KY	Endocrinology, Diabetes & Metabolism Physician	$89.5K	$0
Avery Schroyer	KY	Physical Therapist	$85.4K	$0

Arrow Dental PLLC — Billing Profile & Reimbursement Data

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Arrow Dental 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