Ivana Yi
NPI 1457993610ActiveIndividual· Dentist, Periodontics· Los Alamitos, CA
Opted out of Medicare from April 2024 to April 2028. Dentist, Periodontics in Los Alamitos, California, licensed in CA, with an NPI issued in October 2019. Part D covered 289 prescriptions written in 2024, 100% of them generic. Elevate Oral Care reported $17.03 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1457993610 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Oct 9, 2019 |
| Last updated in NPPES | Jul 17, 2025 |
| Certified by provider | Jul 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | 104710 | CA |
| 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Apr 5, 2024 – Apr 5, 2028 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 289 · 291 30-day fills |
|---|---|
| Patients | 105 |
| Total drug cost | $2,090 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2024$17.03 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Elevate Oral Care | $17.03 | 1 |
What the 2024 payments were for
- Food and Beverage$17.03 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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