Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GARDNER, NICHOLAS

NPI: 1891720280 · GOUVERNEUR, NY 13642 · General Practice Dentistry · NPI assigned 07/12/2006

$48K
Total Medicaid Paid
1,289
Total Claims
1,252
Beneficiaries
8
Codes Billed
2020-08
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 543 542 $29K
D0120 Periodic oral evaluation - established patient 440 439 $12K
D1351 Sealant - per tooth 51 16 $2K
D0350 135 135 $2K
D0274 Bitewings - four radiographic images 44 44 $1K
D1120 Prophylaxis - child 26 26 $1K
D1206 Topical application of fluoride varnish 27 27 $341.36
D1208 Topical application of fluoride, excluding varnish 23 23 $322.00