Doctor profile · Federal record
Dr. JENNALEE DICICCO, DMD
Dentist · PHILADELPHIA, PA
- NPI 1689102030
- 9 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1500 JFK BLVD STE 300
PHILADELPHIA, PA 191021733
(267) 514-8100
fax (215) 701-1108 - Mailing address
-
30 PROSPECT AVE
HACKENSACK, NJ 076011915
Credentials & registration
- NPI registered
- May 2017 — 9 yrs on file
- Profile last updated
- July 18, 2025
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- Pennsylvania #DS042226
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1689102030. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$62
Transactions
4
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Dentsply Sirona Inc | 1 | $17.89 | |
| BioHorizons Implant Systems Inc. | 1 | $16.32 | |
| Philips North America LLC | 1 | $14.26 | |
| Envista Holdings Corporation | 1 | $13.15 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
33
Patients
16
Total drug cost
$126
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 22 | 16 | $80 |
| Ibuprofen | Generic | 11 | 0 | $46 |