Clinic
Gardner Dental LLC
Gardner Dental LLC was paid $13K by Medicaid between Nov 2019 and Oct 2024, across 12 billing codes. Its largest line is D0220, Intraoral - periapical first radiographic image — 22% of everything it billed.
33Billing provider infoGARDNER DENTAL LLC
WINSLOW, AZ 86047
WINSLOW, AZ 86047
33aNPI1538619515assigned 10/13/2016
33bProvider typeDental Clinic/Center
28Total paid$13K
24GClaims2,054
24DCodes billed12
24AFirst – last monthNov 2019 – Oct 2024
Compared with peers
Next to other Dental Clinic/Center providers in Arizona
Rank by total paid#33 of 70
Median peer was paid$7K
This provider vs. median1.8×
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 | |
|---|---|---|---|
| 2019 | 89 | $267.70 | |
| 2020 | 659 | $524.90 | |
| 2021 | 467 | $14.88 | |
| 2022 | 133 | $2K | |
| 2023 | 460 | $7K | |
| 2024incomplete | 246 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 22% | 555 | 499 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 234 | 221 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 13% | 342 | 309 | $2K |
| D1206 | Topical application of fluoride varnish | 13% | 180 | 165 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 160 | 153 | $1K |
| D0274 | Bitewings - four radiographic images | 6.9% | 34 | 33 | $863.80 |
| D1110 | Prophylaxis - adult | 5.5% | 16 | 15 | $684.88 |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.4% | 19 | 17 | $547.43 |
| D0272 | Bitewings - two radiographic images | 2.2% | 89 | 85 | $278.62 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 14 | 12 | $36.72 |
| D0603 | 0% | 165 | 161 | $0.00 | |
| D1999 | 0% | 246 | 225 | $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 officialGARDNER, BRENT (OWNER)