Dental
James T. Gardiner Family Dentistry, P.C.
James T. Gardiner Family Dentistry, P.C. was paid $4.38M by Medicaid between Jan 2018 and May 2023, across 31 billing codes. Its largest line is D1999, — 12% of everything it billed.
33Billing provider infoJAMES T. GARDINER FAMILY DENTISTRY, P.C.
TUSCUMBIA, AL 35674
TUSCUMBIA, AL 35674
33aNPI1750640108assigned 05/04/2012
33bProvider typeDentist
28Total paid$4.38M
24GClaims195,778
24DCodes billed31
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other Dentist providers in Alabama
Rank by total paid#2 of 160
Median peer was paid$24K
This provider vs. median186×
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 | |
|---|---|---|---|
| 2018 | 21,065 | $518K | |
| 2019 | 26,805 | $639K | |
| 2020 | 34,429 | $621K | |
| 2021 | 52,262 | $1.18M | |
| 2022 | 52,229 | $1.22M | |
| 2023 | 8,988 | $204K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1999 | 12% | 29,480 | 24,489 | $525K | |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 20,036 | 18,815 | $509K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 10% | 5,114 | 2,371 | $442K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.7% | 22,415 | 20,910 | $381K |
| D1206 | Topical application of fluoride varnish | 8.4% | 19,687 | 18,076 | $366K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.2% | 3,825 | 2,537 | $272K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.4% | 4,147 | 2,704 | $236K |
| D0330 | Panoramic radiographic image | 5.2% | 6,196 | 5,776 | $230K |
| D0272 | Bitewings - two radiographic images | 3.9% | 12,700 | 11,928 | $169K |
| D7140 | Extraction, erupted tooth or exposed root | 3.8% | 3,556 | 1,978 | $167K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.8% | 8,982 | 7,727 | $167K |
| D1110 | Prophylaxis - adult | 3.7% | 5,054 | 4,607 | $161K |
19 more codes
| D1208 | Topical application of fluoride, excluding varnish | 2.6% | 8,577 | $116K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 5,510 | $112K |
| D1351 | Sealant - per tooth | 2.4% | 5,290 | $107K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.3% | 12,935 | $102K |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 8,693 | $85K |
| D0274 | Bitewings - four radiographic images | 1.8% | 4,458 | $77K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 2,450 | $59K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 480 | $33K |
| D1354 | <1% | 2,009 | $30K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 813 | $17K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 181 | $7K |
| D2335 | <1% | 69 | $6K | |
| D2140 | <1% | 112 | $3K | |
| D3120 | <1% | 176 | $2K | |
| D2330 | <1% | 26 | $1K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 21 | $1K |
| D1310 | 0% | 1,284 | $0.00 | |
| D9420 | 0% | 183 | $0.00 | |
| D1330 | 0% | 1,319 | $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 officialGARDINER, JAMES (OWNER/PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Singing River Dentistry Treehouse Killen, LLC | Killen, AL | $846K |
| Singing River Dentistry East, LLC | Huntsville, AL | $2K |
| SRD Helton Drive, PLLC | Florence, AL | $495.90 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.