Jordan, David

Jordan, David was paid $140K by Medicaid between Jun 2018 and Nov 2021, across 17 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 23% of everything it billed.

33Billing provider infoJORDAN, DAVID
BUTLER, PA 16001

33aNPI1003892647assigned 12/15/2005

33bProvider typeGeneral Practice Dentistry

28Total paid$140K

24GClaims4,323

24DCodes billed17

24AFirst – last monthJun 2018 – Nov 2021

Compared with peers

Next to other General Practice Dentistry providers in Pennsylvania

Rank by total paid#217 of 847

Median peer was paid$37K

This provider vs. median3.8×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	12	$223.00
2019	37	$738.92
2020	1,495	$49K
2021	2,779	$89K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7140	Extraction, erupted tooth or exposed root	23%	534	147	$32K
D1110	Prophylaxis - adult	13%	553	548	$19K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	9.3%	668	665	$13K
D0330	Panoramic radiographic image	8.4%	334	327	$12K
D1120	Dental cleaning, childProphylaxis - child	6.9%	320	320	$10K
D1351	Sealant - per tooth	6.7%	383	61	$9K
D1208	Topical application of fluoride, excluding varnish	5.7%	432	432	$8K
D2391	Resin-based composite - one surface, posterior, primary or permanent	4.5%	133	69	$6K
D5110		4.1%	14	14	$6K
D0150	Comprehensive oral evaluation - new or established patient	3.8%	276	271	$5K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	3.7%	88	55	$5K
D0274	Bitewings - four radiographic images	3.2%	164	163	$5K

5 more codes

D0272	Bitewings - two radiographic images	2.5%	223	$4K
D2332		1.8%	48	$3K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	1.5%	33	$2K
D2330		<1%	26	$1K
D0220	Intraoral - periapical first radiographic image	<1%	94	$684.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.