Jose Ricardo Burgos Polo, D.M.D.
NPI 1013903996ActiveIndividual· Dentist· Dade City, FL
Dentist (D.M.D.) in Dade City, Florida, licensed in FL and PR, with an NPI issued in September 2005. Part D covered 60 prescriptions written in 2024, 98% of them generic.
Overview
| NPI | 1013903996 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.M.D. |
| Sole proprietor | No |
| NPI issued | Sep 26, 2005 |
| Last updated in NPPES | Feb 14, 2023 |
| Certified by provider | Feb 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | DN27318 | FL |
| Dentist | 122300000X | 02586 | PR |
| Dentist, General Practice | 1223G0001X | DTC18 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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) | 60 · 62 30-day fills |
|---|---|
| Patients | 30 |
| Total drug cost | $445.75 |
| Generic share | 98% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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