Samy Wasfy Boulos, DDS
NPI 1275775348ActiveIndividual· Dentist, General Practice· Shoreview, MN
Dentist, General Practice (DDS) in Shoreview, Minnesota, licensed in MN, with an NPI issued in April 2009. Part D covered 167 prescriptions written in 2024, 99% of them generic. Keystone Dental Inc. was the largest of 2 companies reporting payments in 2025, $119.05 in all, mostly food and beverage.
Overview
| NPI | 1275775348 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Apr 3, 2009 |
| Last updated in NPPES | Feb 14, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | D12329 | MN |
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) | Enrolled Order and Referring Only - Dentist (MN) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 167 · 169 30-day fills |
|---|---|
| Patients | 77 |
| Total drug cost | $811.76 |
| Generic share | 99% of claims |
Industry payments (Open Payments)
- 2025$119.05 · 3 payments from 2 companies
- 2024$104.50 · 4 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Keystone Dental Inc. | $79.42 | 1 |
| Straumann USA LLC | $39.63 | 2 |
What the 2025 payments were for
- Food and Beverage$101.87 · 2 payments
- Gift$17.18 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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