Jeremy Bruce Mahoney, DMD
NPI 1083069561ActiveIndividual· Dentist, General Practice· West Jordan, UT
Dentist, General Practice (DMD) in West Jordan, Utah, licensed in UT, with an NPI issued in May 2016. Part D covered 42 prescriptions written in 2024, 90% of them generic.
Overview
| NPI | 1083069561 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | Yes |
| NPI issued | May 3, 2016 |
| Last updated in NPPES | Feb 24, 2021 |
| Certified by provider | Feb 24, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 9823805-9922 | UT |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | UT |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 42 · 42 30-day fills |
|---|---|
| Patients | 26 |
| Total drug cost | $254.73 |
| Generic share | 90% 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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All 74 general dentists in West Jordan · All general dentists in Utah