GARDNER, JONATHAN
NPI: 1053097964
· MULLINS, SC 29574
· General Practice Dentistry
· NPI assigned 06/26/2023
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
315 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
39 |
39 |
$757.50 |
| D0120 |
Periodic oral evaluation - established patient |
61 |
61 |
$521.20 |
| D0274 |
Bitewings - four radiographic images |
32 |
32 |
$392.00 |
| D1206 |
Topical application of fluoride varnish |
53 |
53 |
$330.00 |
| D0220 |
Intraoral - periapical first radiographic image |
49 |
48 |
$204.43 |
| D0230 |
Intraoral - periapical each additional radiographic image |
31 |
31 |
$175.39 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
50 |
36 |
$0.00 |