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Jaterra Dominique Ross, DMD

NPI 1053972646ActiveIndividual· Dentist· Maryland Heights, MO

Dentist (DMD) in Maryland Heights, Missouri, licensed in MO, with an NPI issued in June 2019. Part D covered 17 prescriptions written in 2024, 100% of them generic. Carestream Dental, LLC was the largest of 2 companies reporting payments in 2024, $89.48 in all, mostly food and beverage.

Overview

NPI1053972646
StatusActive
Entity typeIndividual
CredentialDMD
Sole proprietorNo
NPI issuedJun 24, 2019
Last updated in NPPESJun 24, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X2019021855MO

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 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)17 · 17 30-day fills
Patients11
Total drug cost$68.69
Generic share100% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2024$89.48 · 2 payments from 2 companies

Top paying companies in 2024

What the 2024 payments were for

  • Food and Beverage$89.48 · 2 payments

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

Other Dentist providers in Maryland Heights

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