Christopher A. Antczak, DDS
NPI 1366554446ActiveIndividual· Dentist· Phoenix, AZ
Opted out of Medicare from September 2016 to September 2028. Dentist (DDS) in Phoenix, Arizona, licensed in AZ, with an NPI issued in August 2006. Part D covered 94 prescriptions written in 2024, 93% of them generic. Ultradent Products Inc reported $62.49 in payments in 2024, mostly gifts.
Overview
| NPI | 1366554446 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Aug 31, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 5274 | AZ |
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 |
|---|---|
| Opt-out | Opted out Sep 15, 2016 – Sep 15, 2028 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 94 · 98 30-day fills |
|---|---|
| Patients | 51 |
| Total drug cost | $484.03 |
| Generic share | 93% of claims |
Industry payments (Open Payments)
- 2024$62.49 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Ultradent Products Inc | $62.49 | 1 |
What the 2024 payments were for
- Gift$62.49 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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