Dental
Arrow Dental LLC
Arrow Dental LLC was paid $183K by Medicaid between Jan 2018 and Jan 2022, across 30 billing codes. Its largest line is D1110, Prophylaxis - adult — 14% of everything it billed.
33Billing provider infoARROW DENTAL LLC
SALEM, OR 97305
SALEM, OR 97305
33aNPI1346678877assigned 10/18/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$183K
24GClaims39,077
24DCodes billed30
24AFirst – last monthJan 2018 – Jan 2022
Compared with peers
Next to other General Practice Dentistry providers in Oregon
Rank by total paid#44 of 311
Median peer was paid$6K
This provider vs. median28×
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 | 11,113 | $34K | |
| 2019 | 11,335 | $26K | |
| 2020 | 6,790 | $76K | |
| 2021 | 9,772 | $46K | |
| 2022 | 67 | $47.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 14% | 3,213 | 3,199 | $26K |
| D0210 | Intraoral - complete series of radiographic images | 14% | 1,320 | 1,315 | $25K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 1,617 | 1,611 | $21K |
| D0140 | Limited oral evaluation - problem focused | 9.8% | 2,045 | 1,986 | $18K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.3% | 1,080 | 808 | $17K |
| D1206 | Topical application of fluoride varnish | 8.3% | 4,669 | 4,647 | $15K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.5% | 733 | 538 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 3.9% | 2,620 | 2,547 | $7K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.7% | 788 | 784 | $7K |
| D0274 | Bitewings - four radiographic images | 3.4% | 1,570 | 1,560 | $6K |
| D4910 | 3.2% | 787 | 782 | $6K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.0% | 1,592 | 1,585 | $6K |
18 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.2% | 130 | $4K |
| D4342 | 2.0% | 285 | $4K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.9% | 2,266 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | 1.7% | 86 | $3K |
| D0270 | 1.6% | 1,205 | $3K | |
| D4341 | <1% | 85 | $1K | |
| D0330 | Panoramic radiographic image | <1% | 417 | $1K |
| D9310 | <1% | 132 | $720.00 | |
| D1351 | Sealant - per tooth | <1% | 120 | $455.00 |
| D0191 | <1% | 39 | $216.00 | |
| D0272 | Bitewings - two radiographic images | <1% | 32 | $100.00 |
| D4346 | <1% | 12 | $88.00 | |
| D0603 | <1% | 13 | $55.00 | |
| D1330 | <1% | 6,360 | $20.00 | |
| D1320 | 0% | 156 | $0.00 | |
| D1310 | 0% | 4,924 | $0.00 | |
| D9995 | 0% | 78 | $0.00 | |
| D4921 | 0% | 703 | $0.00 |
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 officialTEN PAS, WILLIAM (SR VP & PRESIDENT OF ODS)