Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Alabama for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Alabama only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Alabama (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

James T. Gardiner Family Dentistry, P.C. (NPI 1750640108)

Field	Value
Entity Type	Organization
Organization	James T. Gardiner Family Dentistry, P.C.
Address	121 E. 6th St.
City	Tuscumbia
State	AL
ZIP	35674
Taxonomy	Dentist
NPI Enumerated	May 4, 2012

Payer Source	Total Paid
Medicaid	$4.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1999	N/A	29,480	$20	$530.6K
D1120	Prophylaxis–child	20,040	$30	$500.9K
D2930	N/A	5,110	$90	$439.8K
D0120	Periodic oral evaluation - established patient	22,420	$20	$381.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	19,690	$20	$374.1K
D2392	Post 2 surface resin‑based composite	3,830	$70	$271.6K
D2391	Resin‑based composite – one surface, posterior	4,150	$60	$236.4K
D0330	N/A	6,200	$40	$229.3K
D9230	N/A	8,980	$20	$170.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	3,560	$50	$167.1K

Showing 1–10 of 31

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

James T. Gardiner Family Dentistry, P.C. — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	16	120	1,240	$90	$233.9K
D1354	N/A	30	90	1,190	$20	$210.5K
D2392	Post 2 surface resin‑based composite	45	280	520	$70	$144.9K
D9420	N/A	13	20	230	$170	$110.9K
D1120	Prophylaxis–child	29	520	810	$30	$104.3K
D2391	Resin‑based composite – one surface, posterior	28	250	380	$60	$91.8K
D1999	N/A	7	300	1,280	$20	$81.5K
D0120	Periodic oral evaluation - established patient	32	620	810	$20	$77.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	25	190	490	$50	$76.2K
D3220	N/A	25	60	350	$70	$70.1K

Showing 1–10 of 31

Nearby Providers

Other providers in the same ZIP code as James T. Gardiner Family Dentistry, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tennessee Valley Pediatric Associatesinc.	AL	Pediatrics Physician	$0	$20.8M
Th Tuscumbia PLLC	AL	Pediatric Dentistry	$0	$1.3M
Air Evac Ems Inc	AL	Air Ambulance	$423.2K	$0
Javar Myatt-jones	AL	Family Medicine Physician	$206.1K	$0
Carlos Liotta	AL	Sports Medicine (Family Medicine) Physician	$155.1K	$0
Anna James	AL	Family Nurse Practitioner	$100.2K	$0
Dorene Morris	AL	Family Medicine Physician	$78.6K	$0

James T. Gardiner Family Dentistry, P.C. — Billing Profile & Reimbursement Data

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James T. Gardiner Family Dentistry, P.C. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References