Matthew R. Fantasia, DMD
NPI 1376752840ActiveIndividual· Dentist, General Practice· Wellesley, MA
Dentist, General Practice (DMD) in Wellesley, Massachusetts, licensed in MA, with an NPI issued in May 2007. Part D covered 99 prescriptions written in 2024, 83% of them generic.
Overview
| NPI | 1376752840 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | No |
| NPI issued | May 22, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 20441 | MA |
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 - Other (Physician) (MA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 99 · 99 30-day fills |
|---|---|
| Patients | 65 |
| Total drug cost | $713.79 |
| Generic share | 83% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other general dentists in Wellesley
- 1487834370
- 1548487663
- 1083179428
- 1114048337
- 1134375652
- 1265866032
- 1275806655
- 1295080828
- 1336937309
- 1366158727
- 1386995397
- 1417008525
All 31 general dentists in Wellesley · All general dentists in Massachusetts