Matthew Thomas Anderson, DDS
NPI 1730928714ActiveIndividual· Dentist, General Practice· Fall Creek, WI
Dentist, General Practice (DDS) in Fall Creek, Wisconsin, licensed in WI, with an NPI issued in May 2024. Ultradent Products Inc reported $12.39 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1730928714 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | May 21, 2024 |
| Last updated in NPPES | May 21, 2024 |
| Certified by provider | May 21, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 6001463-15 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|
Industry payments (Open Payments)
- 2024$12.39 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Ultradent Products Inc | $12.39 | 1 |
What the 2024 payments were for
- Food and Beverage$12.39 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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