JARDENIL, DAVID
NPI: 1366512832
· PORTAGE, IN 46368
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 11/09/2006
$902K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,761 |
$14K |
| 2019 |
2,335 |
$318K |
| 2020 |
2,079 |
$248K |
| 2021 |
1,352 |
$173K |
| 2023 |
1,319 |
$131K |
| 2024 |
170 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
2,951 |
971 |
$423K |
| D7250 |
|
1,716 |
679 |
$309K |
| D0140 |
Limited oral evaluation - problem focused |
2,519 |
2,282 |
$87K |
| D0330 |
Panoramic radiographic image |
1,366 |
1,225 |
$73K |
| D7240 |
Removal of impacted tooth - completely bony |
45 |
24 |
$9K |
| D1999 |
|
224 |
201 |
$400.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
195 |
177 |
$216.10 |