36years
Jack Capodice JR., MD, DMD
Oral & Maxillofacial Pathologist · Bloomington, IL
Federal data signals
Each tile cites its source. Empty signals are hidden — they are absent in the federal record, not negative ratings.
High
11 of 12 NPPES fields filled.
1locations
Clean
Active NPI · No OIG exclusion · Medicare-enrolled.
24beneficiaries
$320
Coverage & verification in Illinois
Illinois MedicaidIllinois Medicaid (also HealthChoice Illinois) sets dental coverage rules. Children under 21 remain covered under federal EPSDT regardless of tier.
Visit Illinois MedicaidConfirm the license is active and in good standing at the state board.
Illinois Department of Financial & Professional Regulation — Dental license lookupCredentials & training
- Specialty
- Oral & Maxillofacial Pathologist
- Primary specialty (NPPES)
- ORAL SURGERY
- Secondary specialties
- MAXILLOFACIAL SURGERY
- Taxonomy
- Dentist - Oral and Maxillofacial Pathology
- Taxonomy classification
- Dentist
- Taxonomy specialization
- Oral and Maxillofacial Pathology
- Taxonomy code
- 1223P0106X
- Credential
- MD, DMD
- Credential type
- physician
- Dental school
- UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
- Graduation year
- 1990
Practice ownership
- Entity type
- Individual
- Sole proprietor
- No
CMS quality & volume
CMS Quality Payment Program- Medicare beneficiaries
- 24
- Medicare services
- 46
- Total Medicare payment
- $14,683
Industry payments
CMS Open Payments- Total payments received (2018)
- $320
- Number of payments
- 10
Open Payments tracks transfers of value from drug and device manufacturers to physicians and dentists. Inclusion is not an allegation of wrongdoing.
Five-minute checklist before you call
Federal data tells you a dentist exists and is enumerated. It does not confirm insurance acceptance, current availability, or office fit. Use this list when you call so the visit isn’t a surprise.
Confirm insurance & out-of-pocket cost
- “Do you accept my exact insurance plan? (give the carrier, plan name, and member ID)”
- “Are you accepting new Illinois Medicaid patients right now?”
- “What is the out-of-pocket cost I should expect for the type of visit I need?”
- “If you are out of network for me, can you bill my insurer or only me?”
Verify the dentist & availability
- “Is Jack Capodice JR. the dentist who will see me, or another provider in the practice?”
- “Are you accepting new patients? When is the next available appointment?”
- “Will the same dentist handle follow-up visits, or rotate?”
Verify the license yourself
Search the Illinois Department of Financial & Professional Regulation — Dental license-lookup to confirm the license is active and in good standing — federal records do not show state-level discipline. Open the Illinois Department of Financial & Professional Regulation — Dental site →
Match office services to your needs
- “Do you offer emergency or same-day appointments? After-hours number?”
- “What languages do your front desk and clinical staff speak?”
- “Is the office wheelchair-accessible? Any accommodations available on request?”
- “Do you offer sedation options for anxious patients (nitrous, oral, IV)?”
- “Do you treat pediatric patients in this practice, or refer them to a pediatric dentist?”
Ready to call? Have your insurance card and a list of symptoms or visit reasons in front of you.
Call (309) 663-2526More oral & maxillofacial pathologists in Illinois
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Maywood, ILMedicareClass of 1986View profileDavid Efaw, MD, DDS
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Bloomington, ILMedicareClass of 1990View profileThomas Charles Ocheltree JR., DMD
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Bloomington, ILMedicareClass of 1999View profileGlenn Richard Scheive, D.D.S.
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What is a oral & maxillofacial pathologist?
An oral and maxillofacial pathologist diagnoses diseases of the mouth and jaw from biopsy specimens, imaging, and clinical exam. They're the specialty general dentists, oral surgeons, and ENTs send tissue samples to when something looks suspicious.
Training. After dental school, a pathologist completes a 3-year accredited residency. Board certification is through the American Board of Oral and Maxillofacial Pathology.
More about oral & maxillofacial pathologistsAbout this provider
What is Jack Capodice JR.'s NPI?
Jack Capodice JR. has the National Provider Identifier 1053397612. You can verify it directly on the NPPES NPI Registry at npiregistry.cms.hhs.gov.Does Jack Capodice JR. accept Medicare?
Yes. Jack Capodice JR. is enrolled with CMS Medicare. Note that few dental services are covered by traditional Medicare; coverage typically applies under Medicare Advantage dental riders.Does Jack Capodice JR. accept Illinois Medicaid?
We do not have a verified Illinois Medicaid acceptance signal for Jack Capodice JR.. Medicare enrollment is a public-program proxy but not a guarantee. Call the office or check the Illinois Medicaid provider directory at https://hfs.illinois.gov/.How do I verify Jack Capodice JR.'s dental license?
Use the Illinois Department of Financial & Professional Regulation — Dental license-lookup at https://idfpr.illinois.gov/profs/dentists.html. Search by name to confirm the license is active and in good standing.
Public data sources
Every provider profile cites the federal record it was built from. No editorial guesswork, no paid placement.