Ellis Jardine, DMD, PLLC

Ellis Jardine, DMD, PLLC was paid $2.88M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 31% of everything it billed.

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	19,777	$653K
2019	14,574	$581K
2020	7,363	$243K
2021	7,276	$275K
2022	6,093	$340K
2023	6,803	$518K
2024incomplete	4,430	$273K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7240	Removal of impacted tooth - completely bony	31%	6,161	2,054	$891K
D9243		17%	7,780	2,487	$488K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	9.2%	3,756	1,231	$265K
D0140	Limited oral evaluation - problem focused	5.1%	6,922	6,429	$148K
D7230		4.8%	1,182	608	$140K
D9239		4.4%	2,645	2,440	$128K
D9612		4.0%	2,893	2,672	$114K
D7220		3.4%	1,117	598	$97K
D7140	Extraction, erupted tooth or exposed root	3.1%	2,582	662	$90K
D0330	Panoramic radiographic image	2.8%	4,459	4,159	$79K
D1110	Prophylaxis - adult	2.6%	2,073	1,990	$75K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	2.5%	1,429	887	$73K

21 more codes

D0120	Dental checkup, returning patient	1.9%	2,322	$54K
D1208	Topical application of fluoride, excluding varnish	1.3%	2,662	$39K
D0220	Intraoral - periapical first radiographic image	1.3%	4,852	$37K
D2391	Resin-based composite - one surface, posterior, primary or permanent	1.2%	978	$36K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	<1%	446	$27K
D0150	Comprehensive oral evaluation - new or established patient	<1%	734	$21K
D0274	Bitewings - four radiographic images	<1%	1,784	$19K
D0230	Intraoral - periapical each additional radiographic image	<1%	6,577	$13K
D1999		<1%	920	$11K
D1120	Dental cleaning, child	<1%	476	$10K
D0272	Bitewings - two radiographic images	<1%	950	$8K
D7250		<1%	142	$8K
D2332		<1%	69	$4K
D1206	Topical application of fluoride varnish	<1%	142	$3K
D2330		<1%	77	$2K
D2394		<1%	34	$2K
D4341		<1%	80	$2K
D2331		<1%	17	$403.34
D9992		<1%	22	$330.00
D1330		0%	12	$0.00
D4265		0%	21	$0.00

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.

From NPPES

Who's on the registration

Authorized officialJARDINE, ELLIS (OWNER)