Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidGordon Highway Dental Group, LLC
    Ask Trek AI about this page

    Gordon Highway Dental Group, LLC — Billing Profile & Reimbursement Data

    NPI 1215487467 · Augusta, GA · General Practice Dentistry

    Customize your policy alerts

    Sign up for Gordon Highway Dental Group, LLC — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Gordon Highway Dental Group, LLC is a general practice dentistry provider located in Augusta, Georgia. This profile covers 0 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 7

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationGordon Highway Dental Group, LLC
    Address1631 Gordon Hwy
    CityAugusta
    StateGA
    ZIP30906
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedOctober 12, 2016

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$366.3K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D0120Periodic oral evaluation - established patient4,050$20$93.2K
    D1120Prophylaxis–child2,500$30$82.4K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients3,180$20$50.8K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth1,010$50$48.5K
    D0272N/A1,540$20$29.2K
    D0274N/A940$30$26.4K
    D9230N/A410$30$13.4K
    D0150Comprehensive oral evaluation – new or established patient270$30$8.6K
    D1208Topical application of fluoride - excluding varnish480$20$7.2K
    D0330N/A100$50$4.5K

    Showing 1–10 of 12

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Georgia providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Georgia median

    12 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D1120Prophylaxis–child31140620$30$173.7K
    D0120Periodic oral evaluation - established patient25150640$20$117.8K
    D1208Topical application of fluoride - excluding varnish5190560$20$110.3K
    D0274N/A32110340$30$96.8K
    D0272N/A30110410$20$83.8K
    D0150Comprehensive oral evaluation – new or established patient58130210$30$75.4K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth31120190$30$71K
    D0330N/A5390210$40$66.9K
    D0210Intraoral - complete series of radiographic images4560120$40$60.6K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients19100390$20$52.7K

    Showing 1–10 of 12

    Nearby Providers

    Other providers in the same ZIP code as Gordon Highway Dental Group, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wouter CeyssensGAPhysician Assistant$0$5.3M
    Metro Treatment Of Georgia, LPGAMethadone Clinic$114.9K$1.8M
    Christopher NorrisGAProfessional Counselor$0$962.1K
    Au Health Aircare LLCGAAir Ambulance$490K$0
    Peter StagerGAFamily Medicine Physician$284.6K$0
    Charles ClarkeGASpeech-Language Pathologist$0$165.8K
    Brandon HagopianGAFamily Medicine Physician$122.7K$0
    Sean LynchGAFamily Medicine Physician$121.1K$0
    Thomas WiemeGAPhysician Assistant$44.6K$0
    Susannah AzofeifaGAPhysical Therapist$39.3K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Georgia Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Georgia Distribution
    Gordon Highway Dental Group, LLC — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia