Dental
Arrow Dental LLC
Arrow Dental LLC was paid $993.00 by Medicaid between Dec 2023 and Sep 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 33% of everything it billed.
33Billing provider infoARROW DENTAL LLC
SCAPPOOSE, OR 97056
SCAPPOOSE, OR 97056
33aNPI1942961701assigned 01/04/2022
33bProvider typeDentist
28Total paid$993.00
24GClaims2,496
24DCodes billed14
24AFirst – last monthDec 2023 – Sep 2024
Compared with peers
Next to other Dentist providers in Oregon
Rank by total paid#187 of 233
Median peer was paid$19K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2023 | 49 | $0.00 | |
| 2024incomplete | 2,447 | $993.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 33% | 186 | 161 | $329.00 |
| D0210 | Intraoral - complete series of radiographic images | 18% | 78 | 59 | $174.00 |
| D1206 | Topical application of fluoride varnish | 17% | 244 | 204 | $171.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 110 | 86 | $114.00 |
| D0140 | Limited oral evaluation - problem focused | 7.0% | 34 | 27 | $70.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.6% | 92 | 80 | $56.00 |
| D0220 | Intraoral - periapical first radiographic image | 3.9% | 150 | 123 | $39.00 |
| D0603 | 2.2% | 179 | 150 | $22.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.8% | 123 | 84 | $18.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 62 | 49 | $0.00 |
| D4921 | 0% | 40 | 15 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 68 | 52 | $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 officialBREON, AIMEE (DIRECTOR)
Parent organizationARROW DENTAL LLC