Andrew Adiputra
NPI 1205489671ActiveIndividual· Dentist· Champaign, IL
Dentist in Champaign, Illinois, licensed in IL, with an NPI issued in July 2019. Part D covered 82 prescriptions written in 2024, 100% of them generic. Dentsply Sirona Inc was the largest of 2 companies reporting payments in 2025, $29.06 in all, mostly food and beverage.
Overview
| NPI | 1205489671 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 24, 2019 |
| Last updated in NPPES | Jul 24, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 019032270 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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) | 82 · 82 30-day fills |
|---|---|
| Patients | 60 |
| Total drug cost | $324.20 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2025$29.06 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Dentsply Sirona Inc | $22.12 | 1 |
| Align Technology, Inc. | $6.94 | 1 |
What the 2025 payments were for
- Food and Beverage$29.06 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dentist providers in Champaign
- 1750609418
- 1134542376
- 1467766998
- 1801051552
- 1306286034
- 1619133105
- 1821100371
- 1316001654
- 1114851326
- 1891039590
- 1992971477
- 1659430031