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    OpenPayerNPI Medicare & MedicaidAudrey Gordon
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    Audrey Gordon — Billing Profile & Reimbursement Data

    NPI 1760542302 · Orangeburg, SC · Pediatric Dentistry

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    Audrey Gordon is a pediatric dentistry provider located in Orangeburg, South Carolina. This profile covers 0 Medicare and 24 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    (source: NPPES NPI Registry)

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    Progress1 / 7

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationAudrey Gordon
    Address157 Centre St
    CityOrangeburg
    StateSC
    ZIP29115
    TaxonomyPediatric Dentistry
    NPI EnumeratedDecember 12, 2006

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

    Payer SourceTotal Paid
    Medicaid$2.4M
    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1120Prophylaxis–child9,490$40$332.1K
    D0120Periodic oral evaluation - established patient12,700$20$304.9K
    D2392Post 2 surface resin‑based composite2,810$100$292.3K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth4,430$50$221.4K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)2,050$90$186.5K
    D2391Resin‑based composite – one surface, posterior1,830$90$157.1K
    D9230N/A5,150$30$149.4K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients7,460$20$126.9K
    D1208Topical application of fluoride - excluding varnish7,320$20$117.1K
    D0272N/A5,710$20$108.5K

    Showing 1–10 of 24

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. South Carolina median

    24 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A1151301,060$150$371.1K
    D2392Post 2 surface resin‑based composite59350520$100$175.3K
    D1120Prophylaxis–child61470600$30$156.7K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)51290380$90$125K
    D9230N/A452101,150$30$115.5K
    D2391Resin‑based composite – one surface, posterior59300270$80$110.5K
    D1351Sealant - per tooth145200840$30$108.9K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth63590850$50$104.9K
    D0120Periodic oral evaluation - established patient506101,060$20$100K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients72410670$20$95.1K

    Showing 1–10 of 24

    Nearby Providers

    Other providers in the same ZIP code as Audrey Gordon, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Orangeburg Co. Dsn BoardSCPublic Health or Welfare Agency$0$29.6M
    Family Health Centers, IncSCFederally Qualified Health Center (FQHC)$0$12M
    The Pediatric Clinic, P.A.SCPediatrics Physician$0$5M
    Orange Cut Rate Drug Store, Inc.SCDurable Medical Equipment & Medical Supplies$222.8K$3.7M
    Kool Smiles Sc-2, PCSCGeneral Practice Dentistry$0$3M
    Guardian Angels Medical Transportation LLCSCAmbulance$384.8K$0
    Sabina AbbasovaSCFoot & Ankle Surgery Podiatrist$207K$0
    Fantasia ChandlerSCFamily Nurse Practitioner$151.8K$0
    Willie LouisSCFamily Medicine Physician$108.4K$0
    Gregory SingletonSCFamily Medicine Physician$86.9K$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. South Carolina Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Carolina Distribution
    Audrey Gordon — 0 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina