Holton Deatherage
NPI 1417534116ActiveIndividual· Dentist· Birmingham, AL
Dentist in Birmingham, Alabama, licensed in AL, with an NPI issued in March 2021. Part D covered 182 prescriptions written in 2024, 98% of them generic. Straumann USA LLC was the largest of 2 companies reporting payments in 2025, $370.75 in all, mostly food and beverage.
Overview
| NPI | 1417534116 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 27, 2021 |
| Last updated in NPPES | Nov 11, 2022 |
| Certified by provider | Nov 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | D-0007102-C1 | AL |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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 - Oral Surgery (AL) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 182 · 182 30-day fills |
|---|---|
| Patients | 77 |
| Total drug cost | $1,389 |
| Generic share | 98% of claims |
Industry payments (Open Payments)
- 2025$370.75 · 3 payments from 2 companies
- 2024$145.00 · 3 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Straumann USA LLC | $344.16 | 2 |
| Stryker Corporation | $26.59 | 1 |
What the 2025 payments were for
- Food and Beverage$370.75 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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