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Dustin Christopher Lee, D.D.S.

NPI 1366721961ActiveIndividual· Dentist, General Practice· San Bruno, CA

Opted out of Medicare from June 2016 to June 2028. Dentist, General Practice (D.D.S.) in San Bruno, California, licensed in CA, with an NPI issued in August 2011. Ultradent Products Inc reported $25.99 in payments in 2024, mostly gifts.

Overview

NPI1366721961
StatusActive
Entity typeIndividual
CredentialD.D.S.
Sole proprietorNo
NPI issuedAug 12, 2011
Last updated in NPPESJul 21, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X61807CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No 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-outOpted out Jun 29, 2016 – Jun 29, 2028
Can order and referYes

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare sources and data years

Industry payments (Open Payments)

  • 2024$25.99 · 1 payment from 1 company

Top paying companies in 2024

CompanyAmountPayments
Ultradent Products Inc$25.991

What the 2024 payments were for

  • Gift$25.99 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other general dentists in San Bruno

All 40 general dentists in San Bruno · All general dentists in California