Edmond Shaun Mayatte, D.M.D.
NPI 1063505840ActiveIndividual· Dentist, General Practice· Brandon, MS
Dentist, General Practice (D.M.D.) in Brandon, Mississippi, licensed in MS, with an NPI issued in October 2006. Part D covered 158 prescriptions written in 2024, 99% of them generic. Ultradent Products Inc reported $593.44 in payments in 2025, mostly gifts.
Overview
| NPI | 1063505840 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.M.D. |
| Sole proprietor | Yes |
| NPI issued | Oct 2, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 3156-00 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Dentist (MS) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 158 · 158 30-day fills |
|---|---|
| Patients | 82 |
| Total drug cost | $865.87 |
| Generic share | 99% of claims |
Industry payments (Open Payments)
- 2025$593.44 · 6 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Ultradent Products Inc | $593.44 | 6 |
What the 2025 payments were for
- Gift$593.44 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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