Cameron D. Andrew, DDS
NPI 1104106996ActiveIndividual· Dentist, Endodontics· Prescott, AZ
Dentist, Endodontics (DDS) in Prescott, Arizona, licensed in AZ and ID, with an NPI issued in August 2011. Part D covered 24 prescriptions written in 2024, 96% of them generic.
Overview
| NPI | 1104106996 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Aug 24, 2011 |
| Last updated in NPPES | Jun 13, 2022 |
| Certified by provider | Jun 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | D011401 | AZ |
| Dentist | 122300000X | D-4388 | ID |
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 - Oral Surgery (MT) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 24 · 24 30-day fills |
|---|---|
| Patients | 14 |
| Total drug cost | $96.99 |
| Generic share | 96% 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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