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Polly Chung-Pei Chan, D.D.S.

NPI 1396124491ActiveIndividual· Dentist· Foster City, CA

Opted out of Medicare from September 2015 to September 2027. Dentist (D.D.S.) in Foster City, California, licensed in CA, with an NPI issued in May 2015. Henry Schein One, LLC was the largest of 3 companies reporting payments in 2025, $265.04 in all, mostly food and beverage.

Overview

NPI1396124491
StatusActive
Entity typeIndividual
CredentialD.D.S.
Sole proprietorYes
NPI issuedMay 21, 2015
Last updated in NPPESMay 21, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X41166CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 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 Sep 15, 2015 – Sep 15, 2027
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)

  • 2025$265.04 · 4 payments from 3 companies
  • 2024$722.09 · 20 payments from 5 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$265.04 · 4 payments

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

Other Dentist providers in Foster City

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