Sarver, Jerome

Sarver, Jerome was paid $44K by Medicaid between Jan 2018 and Aug 2021, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 22% of everything it billed.

33Billing provider infoSARVER, JEROME
PORTAGE, IN 46368

33aNPI1760540157assigned 12/05/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$44K

24GClaims1,727

24DCodes billed10

24AFirst – last monthJan 2018 – Aug 2021

Compared with peers

Next to other General Practice Dentistry providers in Indiana

Rank by total paid#401 of 723

Median peer was paid$60K

This provider vs. median0.7×

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	214	$838.79
2019	105	$3K
2020	714	$20K
2021	694	$20K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	22%	258	234	$10K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	19%	482	454	$9K
D1120	Dental cleaning, childProphylaxis - child	11%	212	194	$5K
D0274	Bitewings - four radiographic images	11%	149	136	$5K
D1206	Topical application of fluoride varnish	11%	313	289	$5K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	9.6%	76	38	$4K
D0150	Comprehensive oral evaluation - new or established patient	7.7%	119	104	$3K
D0330	Panoramic radiographic image	4.2%	44	39	$2K
D0140	Limited oral evaluation - problem focused	2.5%	43	36	$1K
D0210	Intraoral - complete series of radiographic images	2.3%	31	25	$1K

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.