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Jordan Bolletta, DMD

NPI 1992376628ActiveIndividual· Dentist, General Practice· Georgetown, TX

Dentist, General Practice (DMD) in Georgetown, Texas, licensed in TX, with an NPI issued in July 2021. Part D covered 34 prescriptions written in 2024, 100% of them generic. Align Technology, Inc. reported $39.85 in payments in 2025, mostly food and beverage.

Overview

NPI1992376628
StatusActive
Entity typeIndividual
CredentialDMD
Sole proprietorNo
NPI issuedJul 4, 2021
Last updated in NPPESJul 4, 2021
Certified by providerJul 4, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X37434TX

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No 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)34 · 34 30-day fills
Patients24
Total drug cost$191.78
Generic share100% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$39.85 · 4 payments from 1 company
  • 2024$155.87 · 4 payments from 1 company

Top paying companies in 2025

CompanyAmountPayments
Align Technology, Inc.$39.854

What the 2025 payments were for

  • Food and Beverage$39.85 · 4 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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