Mauricio Dossantos, DDS
NPI 1104176817ActiveIndividual· Dentist, General Practice· Yucaipa, CA
Dentist, General Practice (DDS) in Yucaipa, California, licensed in CA, with an NPI issued in September 2012. Part D covered 150 prescriptions written in 2024, 96% of them generic. Ultradent Products Inc reported $785.95 in payments in 2025, mostly gifts.
Overview
| NPI | 1104176817 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | Yes |
| NPI issued | Sep 11, 2012 |
| Last updated in NPPES | Dec 13, 2023 |
| Certified by provider | Dec 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 61711 | CA |
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) | 150 · 162 30-day fills |
|---|---|
| Patients | 66 |
| Total drug cost | $758.26 |
| Generic share | 96% of claims |
Industry payments (Open Payments)
- 2025$785.95 · 3 payments from 1 company
- 2024$36.61 · 3 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Ultradent Products Inc | $785.95 | 3 |
What the 2025 payments were for
- Gift$785.95 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 19 general dentists in Yucaipa · All general dentists in California