Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-06-30 View official record Methodology

Covered recipient · General Payments record

WILLIAM GRAHAM GARDNER

Dental Providers Dentist Orthodontics and Dentofacial Orthopedics

NPI
1134395999
CMS profile
279197
Location
RICHMOND, VA

General Payments · PY2019–2025

$375,140.38

  • Reported across 213 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$139,799.23

54 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Honoraria $126,890.00 15
Travel and Lodging $11,010.91 27
Food and Beverage $1,564.62 10
Education $250.00 1
Gift $83.70 1

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
Align Technology, Inc. $139,799.23 54

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $26,798.78 34
PY2020 $31,765.61 19
PY2021 $43,773.83 18
PY2022 $25,929.18 24
PY2023 $60,007.35 34
PY2024 $47,066.40 30
PY2025 $139,799.23 54

Payment records · PY2025 (54)

Sorted by paying entity, then date · as published by CMS

Program year 2025 201920202021202220232024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Align Technology, Inc. $2,500.00 01/23/2025 Honoraria Undisputed 06/30/2026 1254090653 CMS
Align Technology, Inc. $75.05 01/23/2025 Food and Beverage Undisputed 06/30/2026 1254090655 CMS
Align Technology, Inc. $120.71 01/23/2025 Travel and Lodging Undisputed 06/30/2026 1254090707 CMS
Align Technology, Inc. $346.20 02/18/2025 Travel and Lodging Undisputed 06/30/2026 1254091055 CMS
Align Technology, Inc. $1,481.81 02/20/2025 Travel and Lodging Undisputed 06/30/2026 1254091053 CMS
Align Technology, Inc. $174.18 02/21/2025 Travel and Lodging Undisputed 06/30/2026 1254090991 CMS
Align Technology, Inc. $83.70 02/27/2025 Gift Undisputed 06/30/2026 1254038597 CMS
Align Technology, Inc. $497.24 02/27/2025 Travel and Lodging Undisputed 06/30/2026 1254090987 CMS
Align Technology, Inc. $250.00 03/01/2025 Education Undisputed 06/30/2026 1254046630 CMS
Align Technology, Inc. $757.79 03/01/2025 Food and Beverage Undisputed 06/30/2026 1254048024 CMS
Align Technology, Inc. $777.48 03/01/2025 Travel and Lodging Undisputed 06/30/2026 1254048088 CMS
Align Technology, Inc. $14,560.00 03/06/2025 Honoraria Undisputed 06/30/2026 1254090649 CMS
Align Technology, Inc. $113.20 03/06/2025 Food and Beverage Undisputed 06/30/2026 1254090651 CMS
Align Technology, Inc. $105.88 03/06/2025 Travel and Lodging Undisputed 06/30/2026 1254090709 CMS
Align Technology, Inc. $450.84 03/20/2025 Travel and Lodging Undisputed 06/30/2026 1254091069 CMS
Align Technology, Inc. $274.10 04/10/2025 Travel and Lodging Undisputed 06/30/2026 1254091161 CMS
Align Technology, Inc. $487.93 05/01/2025 Travel and Lodging Undisputed 06/30/2026 1254091071 CMS
Align Technology, Inc. $318.96 05/01/2025 Travel and Lodging Undisputed 06/30/2026 1254091245 CMS
Align Technology, Inc. $34.82 05/20/2025 Food and Beverage Undisputed 06/30/2026 1254027069 CMS
Align Technology, Inc. $283.90 06/05/2025 Travel and Lodging Undisputed 06/30/2026 1254091403 CMS
Align Technology, Inc. $7,680.00 07/03/2025 Honoraria Undisputed 06/30/2026 1254090667 CMS
Align Technology, Inc. $144.83 07/03/2025 Food and Beverage Undisputed 06/30/2026 1254090669 CMS
Align Technology, Inc. $7,680.00 07/03/2025 Honoraria Undisputed 06/30/2026 1254090673 CMS
Align Technology, Inc. $3,120.00 07/03/2025 Honoraria Undisputed 06/30/2026 1254090683 CMS
Align Technology, Inc. $9,880.00 07/03/2025 Honoraria Undisputed 06/30/2026 1254090689 CMS
Align Technology, Inc. $123.66 07/03/2025 Food and Beverage Undisputed 06/30/2026 1254090691 CMS
Align Technology, Inc. $230.84 07/03/2025 Travel and Lodging Undisputed 06/30/2026 1254090699 CMS
Align Technology, Inc. $136.95 07/03/2025 Travel and Lodging Undisputed 06/30/2026 1254090701 CMS
Align Technology, Inc. $190.06 07/03/2025 Travel and Lodging Undisputed 06/30/2026 1254090713 CMS
Align Technology, Inc. $154.19 07/03/2025 Travel and Lodging Undisputed 06/30/2026 1254090715 CMS
Align Technology, Inc. $544.69 07/03/2025 Travel and Lodging Undisputed 06/30/2026 1254090725 CMS
Align Technology, Inc. $163.08 07/03/2025 Travel and Lodging Undisputed 06/30/2026 1254090727 CMS
Align Technology, Inc. $13,000.00 08/07/2025 Honoraria Undisputed 06/30/2026 1254090657 CMS
Align Technology, Inc. $111.26 08/07/2025 Food and Beverage Undisputed 06/30/2026 1254090659 CMS
Align Technology, Inc. $115.02 08/07/2025 Travel and Lodging Undisputed 06/30/2026 1254090711 CMS
Align Technology, Inc. $640.00 08/21/2025 Honoraria Undisputed 06/30/2026 1254090671 CMS
Align Technology, Inc. $640.00 08/21/2025 Honoraria Undisputed 06/30/2026 1254090675 CMS
Align Technology, Inc. $9,880.00 08/25/2025 Honoraria Undisputed 06/30/2026 1254090663 CMS
Align Technology, Inc. $35.36 08/25/2025 Food and Beverage Undisputed 06/30/2026 1254090665 CMS
Align Technology, Inc. $260.11 08/25/2025 Travel and Lodging Undisputed 06/30/2026 1254090731 CMS
Align Technology, Inc. $76.01 08/25/2025 Travel and Lodging Undisputed 06/30/2026 1254090733 CMS
Align Technology, Inc. $42.86 09/16/2025 Food and Beverage Undisputed 06/30/2026 1254030608 CMS
Align Technology, Inc. $835.40 09/17/2025 Travel and Lodging Undisputed 06/30/2026 1254091601 CMS
Align Technology, Inc. $1,910.81 09/25/2025 Travel and Lodging Undisputed 06/30/2026 1254091599 CMS
Align Technology, Inc. $8,320.00 10/02/2025 Honoraria Undisputed 06/30/2026 1254090661 CMS
Align Technology, Inc. $168.74 10/02/2025 Travel and Lodging Undisputed 06/30/2026 1254090717 CMS
Align Technology, Inc. $239.40 10/02/2025 Travel and Lodging Undisputed 06/30/2026 1254090719 CMS
Align Technology, Inc. $12,505.00 10/16/2025 Honoraria Undisputed 06/30/2026 1254090677 CMS
Align Technology, Inc. $11,130.00 11/06/2025 Honoraria Undisputed 06/30/2026 1254090679 CMS
Align Technology, Inc. $17,035.00 11/06/2025 Honoraria Undisputed 06/30/2026 1254090681 CMS
Align Technology, Inc. $8,320.00 12/04/2025 Honoraria Undisputed 06/30/2026 1254090685 CMS
Align Technology, Inc. $125.79 12/04/2025 Food and Beverage Undisputed 06/30/2026 1254090687 CMS
Align Technology, Inc. $187.58 12/04/2025 Travel and Lodging Undisputed 06/30/2026 1254090703 CMS
Align Technology, Inc. $478.80 12/04/2025 Travel and Lodging Undisputed 06/30/2026 1254090705 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.