Gardner, Nicholas

Gardner, Nicholas was paid $48K by Medicaid between Aug 2020 and Oct 2024, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 60% of everything it billed.

33Billing provider infoGARDNER, NICHOLAS
GOUVERNEUR, NY 13642

33aNPI1891720280assigned 07/12/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$48K

24GClaims1,289

24DCodes billed8

24AFirst – last monthAug 2020 – Oct 2024

Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#1,125 of 2,184

Median peer was paid$54K

This provider vs. median0.9×

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
2020	114	$5K
2021	422	$16K
2022	369	$13K
2023	213	$8K
2024incomplete	171	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	60%	543	542	$29K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	25%	440	439	$12K
D1351	Sealant - per tooth	4.6%	51	16	$2K
D0350		3.9%	135	135	$2K
D0274	Bitewings - four radiographic images	2.5%	44	44	$1K
D1120	Dental cleaning, childProphylaxis - child	2.3%	26	26	$1K
D1206	Topical application of fluoride varnish	<1%	27	27	$341.36
D1208	Topical application of fluoride, excluding varnish	<1%	23	23	$322.00

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.