Christine Ann Fortmann, DDS
NPI 1124419007ActiveIndividual· Dentist, Prosthodontics· San Juan Capistrano, CA
Dentist, Prosthodontics (DDS) in San Juan Capistrano, California, licensed in CA and TX, with an NPI issued in February 2015. Part D covered 117 prescriptions written in 2024, 31% of them generic. Ultradent Products Inc reported $264.99 in payments in 2024, mostly gifts.
Overview
| NPI | 1124419007 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | Yes |
| NPI issued | Feb 12, 2015 |
| Last updated in NPPES | Jun 16, 2020 |
| Certified by provider | Jun 16, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Prosthodontics Primary | 1223P0700X | DDS65045 | CA |
| Dentist, Prosthodontics | 1223P0700X | 30577 | TX |
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) | 117 · 204 30-day fills |
|---|---|
| Patients | 45 |
| Total drug cost | $2,316 |
| Generic share | 31% of claims |
Industry payments (Open Payments)
- 2024$264.99 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Ultradent Products Inc | $264.99 | 1 |
What the 2024 payments were for
- Gift$264.99 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dentist, Prosthodontics providers in San Juan Capistrano
- 1013532324