Jeffrey Michael Kotsubo, D.D.S.
NPI 1184834442ActiveIndividual· Dentist, Endodontics· Santa Monica, CA
Dentist, Endodontics (D.D.S.) in Santa Monica, California, licensed in CA, with an NPI issued in May 2007. Part D covered 20 prescriptions written in 2024, 100% of them generic. Ultradent Products Inc reported $68.49 in payments in 2024, mostly gifts.
Overview
| NPI | 1184834442 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.D.S. |
| Sole proprietor | Yes |
| NPI issued | May 23, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | 38439 | 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) | Enrolled Order and Referring Only - Dentist (CA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 20 · 20 30-day fills |
|---|---|
| Patients | 17 |
| Total drug cost | $115.70 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2024$68.49 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Ultradent Products Inc | $68.49 | 1 |
What the 2024 payments were for
- Gift$68.49 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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