Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › ONTARIO › GARDNER DENTAL CORPORATION

GARDNER DENTAL CORPORATION

NPI: 1235660747 · ONTARIO, CA 91762 · Health Maintenance Organization · NPI assigned 03/26/2017

$17K
Total Medicaid Paid
664
Total Claims
421
Beneficiaries
8
Codes Billed
2018-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGARDNER, MICHAEL (PRESIDENT)
NPI Enumeration Date03/26/2017

Related Entities

Other providers sharing the same authorized official: GARDNER, MICHAEL

ProviderCityStateTotal Paid
COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION INC RUTLAND VT $20.66M
COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC. BOMOSEEN VT $14.99M
COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC. RUTLAND VT $13.61M
COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC. BRANDON VT $4.27M
COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC. RUTLAND VT $4.25M
COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC. WEST PAWLET VT $3.84M
WARSAW-LINCOLN AMBULANCE DISTRICT WARSAW MO $2.05M
COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC SHOREHAM VT $1.15M
LEAVER AND GARDNER ORTHODONTICS LLC LAS VEGAS NV $104K
GARDNER ORTHODONTICS PAHRUMP NV $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $792.00
2021 26 $1K
2022 28 $2K
2023 117 $4K
2024 481 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 113 113 $7K
D0210 Intraoral - complete series of radiographic images 80 80 $4K
D9430 106 96 $3K
D0350 205 57 $854.40
D4910 12 12 $847.00
D0120 Periodic oral evaluation - established patient 12 12 $745.00
D0230 Intraoral - periapical each additional radiographic image 110 25 $433.35
D1208 Topical application of fluoride, excluding varnish 26 26 $361.00