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.

Vent S Murphy Dds Ms PLLC (NPI 1932147451)

Field	Value
Entity Type	Organization
Organization	Vent S Murphy Dds Ms PLLC
Address	603 Lexington Ave
City	Fort Smith
State	AR
ZIP	72901
Taxonomy	Pediatric Dentistry
NPI Enumerated	June 4, 2006

Payer Source	Total Paid
Medicaid	$19.7M
Medicare	$0

Key Findings

This provider is effectively single‑payer at scale: there is no Medicare billing on file while lifetime Medicaid revenue totals $19.7M, so the practice’s entire reported federal reimbursement footprint in the dataset is driven by Medicaid. Analysts should treat Medicaid as the primary — and for these data, the sole — government payer when assessing reimbursement risk and network leverage.

Revenue is highly concentrated: the precomputed top‑3 Medicaid codes by revenue account for 43.0% of this provider's total Medicaid revenue, indicating that a small set of procedures drive nearly half of Medicaid receipts. The top individual Medicaid revenue lines include D2930 ($4.1M, 20.9% of Medicaid revenue), D0120 ($2.4M, 11.9%), and D3220 ($2M, 10.1%), so changes in reimbursement or utilization for those codes would materially affect overall revenue.

The code mix and provided descriptions point to a pediatric‑focused, high‑throughput preventive practice. D0120 (Periodic oral evaluation - established patient) shows very large volume (98K claims, $2.4M revenue, 11.9% of Medicaid revenue) and D1120 (Prophylaxis–child) also posts high volume (60.2K claims, $2M revenue, 10.1%), consistent with routine exam and pediatric prophylaxis as major service lines. Large counts for D1208 (97.9K claims, $1.8M revenue) and D1351 (28.7K claims, $745.4K revenue) further emphasize a preventive/maintenance focus typical of pediatric dentistry.

Competitive standing in Arkansas is strong for multiple codes: the provider ranks at or near the top statewide for several lines. Examples include D3220 (ranks #1 of 56 providers, 100th percentile; extreme outlier), D0120 (ranks #3 of 774 providers, 100th percentile; extreme outlier), and D2930 (ranks #2 of 107 providers, 99th percentile; notably above typical state volume), signaling dominant market share for those procedures within the state.

Several high‑volume preventive codes are reported at extreme volumes relative to peers, implying a high‑throughput operational model. D1208 (Topical application of fluoride) shows 97.9K claims and $1.8M revenue (8.9% of Medicaid revenue) and is ranked #1 of 540 providers (100th percentile; extreme outlier), while D1120 and D1110 are also listed as extreme outliers — these patterns support expectations of large daily patient flow and standardized preventive workflows.

The practice also delivers substantial restorative and minor surgical care alongside preventive services, indicating end‑to‑end pediatric dental capability. Notable restorative/extraction activity includes D7140 (extraction) with 9.7K claims and $611.8K revenue (3.1% of Medicaid revenue) and composite restorations such as D2392 (3.6K claims, $309.7K revenue), showing that the clinic handles both preventive and operative episodes.

Multiple codes are flagged as statistical outliers or as notably above typical state volume across the Medicaid code list, which merits attention in benchmarking and utilization review. In addition to the extreme outliers already mentioned (D0120, D3220, D1120, D1208), codes such as D0272, D0230, and D0140 are described as notably above typical state volume or 100th‑percentile ranked, underscoring that the provider’s pattern of high claim counts is consistent across many common pediatric codes.

This provider has an established presence: the NPI was enumerated on 2006-06-04 (~20 years ago), indicating long tenure in the market. The combination of longevity plus concentrated, high‑percentile Medicaid billing suggests the practice has built sustained referral and patient volume specifically within the Arkansas Medicaid population.

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	32,030	$130	$4.1M
D0120	Periodic oral evaluation - established patient	98,000	$20	$2.4M
D3220	N/A	23,230	$90	$2M
D1120	Prophylaxis–child	60,210	$30	$2M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	39,010	$50	$1.8M
D1208	Topical application of fluoride - excluding varnish	97,940	$20	$1.8M
D0272	N/A	67,920	$20	$1.5M
D1351	Sealant - per tooth	28,670	$30	$745.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	9,710	$60	$611.8K
D9230	N/A	18,190	$30	$454.6K

Showing 1–10 of 24

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

Vent S Murphy Dds Ms PLLC — 17 of 23 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

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	2	110	570	$130	$481.4K
D3220	N/A	1	60	250	$80	$124.5K
D2934	N/A	2	10	430	$130	$106.2K
D1120	Prophylaxis–child	3	470	230	$30	$85.3K
D0120	Periodic oral evaluation - established patient	3	770	540	$30	$75.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	3	680	340	$50	$72.5K
D2392	Post 2 surface resin‑based composite	6	110	230	$70	$71.9K
D2150	Amalgam - two surfaces, primary or permanent	44	250	180	$80	$71.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	3	230	200	$70	$69.2K
D1351	Sealant - per tooth	3	160	380	$30	$59.5K

Showing 1–10 of 24

Nearby Providers

Other providers in the same ZIP code as Vent S Murphy Dds Ms PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Health Regional Hospitals	AR	General Acute Care Hospital	$0	$17.5M
Baptist Health Services	AR	Family Medicine Physician	$0	$9.9M
River Valley Pediatric Dentistry PLLC	AR	Pediatric Dentistry	$0	$9.7M
University Of Arkansas For Medical Sciences	AR	Developmental - Behavioral Pediatrics Physician	$0	$9.2M
Lhcg Civ, LLC	AR	In Home Supportive Care Agency	$0	$5.2M
Abilities Unlimited Of Fort Smith Inc	AR	Non-emergency Medical Transport (VAN)	$0	$4.9M
Area Agency On Aging Of Western Arkansas, Inc	AR	Home Health Agency	$0	$3.9M
University Of Arkansas For Medical Sciences	AR	Family Medicine Physician	$0	$3M
Fort Smith Hma, LLC	AR	General Acute Care Hospital	$0	$2.4M
Area Agency On Aging Of Western Arkansas, Inc	AR	Home Health Agency	$0	$1.8M

Vent S Murphy Dds Ms PLLC — Billing Profile & Reimbursement Data

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Vent S Murphy Dds Ms 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

Nearby Providers

Frequently Asked Questions

References