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

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

Gaurav Agarwal Dds, Msd, PLLC (NPI 1760635585)

Field	Value
Entity Type	Organization
Organization	Gaurav Agarwal Dds, Msd, PLLC
Address	1705 Amherst Street
City	Winchester
State	VA
ZIP	22601
Taxonomy	Dental Clinic/Center
NPI Enumerated	October 23, 2008

Payer Source	Total Paid
Medicaid	$8.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

37 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2391	Resin‑based composite – one surface, posterior	23,400	$60	$1.5M
D2392	Post 2 surface resin‑based composite	12,010	$70	$876.4K
D1120	Prophylaxis–child	30,860	$30	$864K
D2930	N/A	7,630	$110	$816.8K
D8670	N/A	2,210	$340	$741.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	39,440	$20	$670.5K
D0120	Periodic oral evaluation - established patient	37,040	$20	$629.7K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	11,670	$40	$443.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	7,210	$60	$417.9K
D9230	N/A	14,320	$30	$400.9K

Showing 1–10 of 37

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Virginia Distribution

Gaurav Agarwal Dds, Msd, PLLC — 13 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

37 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8670	N/A	31	170	370	$340	$415.5K
D8080	N/A	33	60	140	$950	$333.8K
D2930	N/A	9	150	330	$120	$226.8K
D2392	Post 2 surface resin‑based composite	9	690	280	$70	$88.1K
D8660	N/A	24	110	110	$170	$86.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	27	420	370	$50	$84.1K
D1120	Prophylaxis–child	11	840	390	$30	$81.6K
D2391	Resin‑based composite – one surface, posterior	3	560	260	$60	$69.7K
D3220	N/A	53	60	200	$70	$62.5K
D1351	Sealant - per tooth	15	310	340	$30	$61.8K

Showing 1–10 of 37

Nearby Providers

Other providers in the same ZIP code as Gaurav Agarwal Dds, Msd, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Grafton School, Inc.	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$92M
Winchester Medical Center	VA	General Acute Care Hospital	$0	$69.9M
Grafton School Inc	VA	Psychiatric Residential Treatment Facility	$0	$33M
Shenandoah Valley Community Residences, Inc.	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$17.4M
Compassionate Home Care	VA	In Home Supportive Care Agency	$0	$14.5M
Nova Family Services, Inc.	VA	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$13.5M
Uncle Sam Transportation LLC	VA	Taxi	$0	$12M
National Counseling Group, Inc	VA	Mental Health Counselor	$0	$11.2M
Pediatrix Medical Group PC	VA	Neonatal-Perinatal Medicine Physician	$0	$10.8M
Winchester Medical Center	VA	Obstetrics & Gynecology Physician	$0	$10M

Gaurav Agarwal Dds, Msd, PLLC — Billing Profile & Reimbursement Data

Sign up for Gaurav Agarwal Dds, Msd, PLLC — Billing Profile & Reimbursement Data policy alerts

Gaurav Agarwal Dds, Msd, PLLC — Billing Profile & Reimbursement Data

Sign up for Gaurav Agarwal Dds, Msd, PLLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References