SCOTT R GARDNER DDS PC
NPI: 1114187598
· NAMPA, ID 83686
· Dentist
· NPI assigned 06/10/2008
Provider Details
| Authorized Official | GARDNER, SCOTT (DETIST) |
| NPI Enumeration Date | 06/10/2008 |
Related Entities
Other providers sharing the same authorized official: GARDNER, SCOTT
| Provider | City | State | Total Paid |
|---|
| AQUAWORX |
BERLIN |
MD |
$10K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
160 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
16 |
16 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
23 |
22 |
$17.41 |
| D0120 |
Periodic oral evaluation - established patient |
37 |
37 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
35 |
34 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
33 |
21 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
16 |
16 |
$0.00 |