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Polina Fedorovna Rhoudenko, DMD

NPI 1508448861ActiveIndividual· Dentist, General Practice· Fullerton, CA

Dentist, General Practice (DMD) in Fullerton, California, licensed in CA, with an NPI issued in April 2021. Part D covered 13 prescriptions written in 2024, 100% of them generic.

Overview

NPI1508448861
StatusActive
Entity typeIndividual
CredentialDMD
Sole proprietorYes
NPI issuedApr 26, 2021
Last updated in NPPESOct 18, 2021
Certified by providerOct 18, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X106839CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 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

Part D prescriptions in 2024

Prescriptions (claims)13 · 13 30-day fills
Total drug cost$38.00
Generic share100% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

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

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