Mandy Kay-Marie Boese, DDS
NPI 1730865122ActiveIndividual· Dentist, General Practice· Superior, WI
Dentist, General Practice (DDS) in Superior, Wisconsin, licensed in WI, with an NPI issued in June 2023. Part D covered 15 prescriptions written in 2024, 100% of them generic. Ultradent Products Inc reported $7.59 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1730865122 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | Yes |
| NPI issued | Jun 22, 2023 |
| Last updated in NPPES | Jun 22, 2023 |
| Certified by provider | Jun 22, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 6001206-15 | WI |
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) | 15 · 15 30-day fills |
|---|---|
| Patients | 14 |
| Total drug cost | $49.67 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2024$7.59 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Ultradent Products Inc | $7.59 | 1 |
What the 2024 payments were for
- Food and Beverage$7.59 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 25 general dentists in Superior · All general dentists in Wisconsin