Mark Jardine, DDS
NPI 1801177704ActiveIndividual· Dentist, General Practice· Provo, UT
Dentist, General Practice (DDS) in Provo, Utah, licensed in UT, with an NPI issued in September 2011. Part D covered 107 prescriptions written in 2024, 93% of them generic. Ultradent Products Inc was the largest of 3 companies reporting payments in 2025, $171.04 in all, mostly gifts.
Overview
| NPI | 1801177704 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Sep 6, 2011 |
| Last updated in NPPES | Mar 17, 2024 |
| Certified by provider | Mar 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 8544722-9921 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 107 · 107 30-day fills |
|---|---|
| Patients | 45 |
| Total drug cost | $327.97 |
| Generic share | 93% of claims |
Industry payments (Open Payments)
- 2025$171.04 · 3 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Ultradent Products Inc | $128.49 | 1 |
| Sprintray Inc | $25.43 | 1 |
| Dentsply Sirona Inc | $17.12 | 1 |
What the 2025 payments were for
- Gift$128.49 · 1 payment
- Food and Beverage$42.55 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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