Gardner, Jonathan

Gardner, Jonathan was paid $2K by Medicaid between Sep 2023 and Nov 2023, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 32% of everything it billed.

33Billing provider infoGARDNER, JONATHAN
MULLINS, SC 29574

33aNPI1053097964assigned 06/26/2023

33bProvider typeGeneral Practice Dentistry

28Total paid$2K

24GClaims315

24DCodes billed7

24AFirst – last monthSep 2023 – Nov 2023

Compared with peers

Next to other General Practice Dentistry providers in South Carolina

Rank by total paid#292 of 331

Median peer was paid$75K

This provider vs. median0.0×

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	315	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	32%	39	39	$757.50
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	22%	61	61	$521.20
D0274	Bitewings - four radiographic images	16%	32	32	$392.00
D1206	Topical application of fluoride varnish	14%	53	53	$330.00
D0220	Intraoral - periapical first radiographic image	8.6%	49	48	$204.43
D0230	Intraoral - periapical each additional radiographic image	7.4%	31	31	$175.39
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	0%	50	36	$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.