Judy Andrea Boutros, D.D.S.
NPI 1417152125ActiveIndividual· Dentist, Endodontics· Ottawa Hills, OH
Dentist, Endodontics (D.D.S.) in Ottawa Hills, Ohio, licensed in OH, with an NPI issued in June 2007. Part D covered 126 prescriptions written in 2024, 100% of them generic. Benco Dental Supply Co. reported $79.99 in payments in 2025, mostly travel and lodging.
Overview
| NPI | 1417152125 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.D.S. |
| Sole proprietor | No |
| NPI issued | Jun 21, 2007 |
| Last updated in NPPES | Aug 2, 2026 |
| Certified by provider | Aug 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | 30021105 | OH |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 126 · 126 30-day fills |
|---|---|
| Patients | 95 |
| Total drug cost | $697.40 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2025$79.99 · 1 payment from 1 company
- 2024$88.80 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Benco Dental Supply Co. | $79.99 | 1 |
What the 2025 payments were for
- Travel and Lodging$79.99 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records