Clinic
Jardosh Dental Group INC.
Jardosh Dental Group INC. was paid $610K by Medicaid between Aug 2021 and Dec 2024, across 22 billing codes. Its largest line is D2150, Silver amalgam - two surfaces, primary or permanent — 15% of everything it billed.
33Billing provider infoJARDOSH DENTAL GROUP INC.
LA PUENTE, CA 91744
LA PUENTE, CA 91744
33aNPI1891362562assigned 06/09/2021
33bProvider typeDental Clinic/Center
28Total paid$610K
24GClaims19,718
24DCodes billed22
24AFirst – last monthAug 2021 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#331 of 1,135
Median peer was paid$200K
This provider vs. median3.0×
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 | |
|---|---|---|---|
| 2021 | 1,854 | $38K | |
| 2022 | 5,068 | $134K | |
| 2023 | 5,741 | $173K | |
| 2024incomplete | 7,055 | $264K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2150 | Silver amalgam - two surfaces, primary or permanent | 15% | 1,368 | 649 | $91K |
| D2751 | Crown - porcelain fused to predominantly base metal | 14% | 178 | 151 | $84K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 1,018 | 1,014 | $67K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.6% | 739 | 729 | $58K |
| D1110 | Prophylaxis - adult | 8.9% | 611 | 608 | $54K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.1% | 880 | 865 | $43K |
| D2140 | 6.5% | 734 | 302 | $39K | |
| D0230 | Intraoral - periapical each additional radiographic image | 6.1% | 9,050 | 1,937 | $37K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.0% | 576 | 285 | $31K |
| D9430 | 3.2% | 619 | 568 | $20K | |
| D1208 | Topical application of fluoride, excluding varnish | 2.7% | 1,162 | 1,153 | $17K |
| D0274 | Bitewings - four radiographic images | 2.4% | 698 | 698 | $15K |
10 more codes
| D2952 | 2.1% | 136 | $13K | |
| D2160 | 1.4% | 110 | $9K | |
| D0272 | Bitewings - two radiographic images | 1.3% | 681 | $8K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.1% | 55 | $7K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 484 | $6K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 90 | $4K |
| D0350 | <1% | 278 | $2K | |
| D1206 | Topical application of fluoride varnish | <1% | 143 | $2K |
| D1351 | Sealant - per tooth | <1% | 93 | $2K |
| D4910 | <1% | 15 | $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.
From NPPES
Who's on the registration
Authorized officialJARDOSH, ROSHAN (OWNER)