Jardeleza, Anne Marie

Jardeleza, Anne Marie was paid $80K by Medicaid between Feb 2018 and Jul 2019, across 11 billing codes. Its largest line is D1120, dental cleaning, child — 42% of everything it billed.

33Billing provider infoJARDELEZA, ANNE MARIE
YORKVILLE, IL 60560

33aNPI1053611319assigned 11/02/2010

33bProvider typeDentist

28Total paid$80K

24GClaims2,702

24DCodes billed11

24AFirst – last monthFeb 2018 – Jul 2019

Compared with peers

Next to other Dentist providers in Illinois

Rank by total paid#674 of 1,099

Median peer was paid$160K

This provider vs. median0.5×

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	1,603	$46K
2019	1,099	$34K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	42%	829	794	$34K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	27%	779	746	$22K
D1208	Topical application of fluoride, excluding varnish	15%	457	442	$12K
D1351	Sealant - per tooth	3.9%	43	29	$3K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	3.4%	45	37	$3K
D2150	Silver amalgam - two surfaces, primary or permanent	3.3%	44	37	$3K
D0272	Bitewings - two radiographic images	3.1%	263	257	$2K
D0220	Intraoral - periapical first radiographic image	1.3%	187	175	$1K
D0274	Bitewings - four radiographic images	<1%	26	24	$439.40
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	13	13	$431.90
D0230	Intraoral - periapical each additional radiographic image	<1%	16	15	$178.60

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.