Ethan D. Moulton, D.D.S.,M.S.
NPI 1740222579ActiveIndividual· Dentist, Periodontics· Idaho Falls, ID
Dentist, Periodontics (D.D.S.,M.S.) in Idaho Falls, Idaho, licensed in ID and OK, with an NPI issued in June 2006. Part D covered 128 prescriptions written in 2024, 100% of them generic. Straumann USA LLC was the largest of 2 companies reporting payments in 2025, $106.61 in all, mostly food and beverage.
Overview
| NPI | 1740222579 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.D.S.,M.S. |
| Sole proprietor | No |
| NPI issued | Jun 13, 2006 |
| Last updated in NPPES | Sep 16, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | D-4093-PE | ID |
| Dentist | 122300000X | 5588 | OK |
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) | 128 · 169 30-day fills |
|---|---|
| Patients | 61 |
| Total drug cost | $1,802 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2025$106.61 · 3 payments from 2 companies
- 2024$10.31 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Straumann USA LLC | $84.95 | 2 |
| Biohorizons Implant Systems Inc. | $21.66 | 1 |
What the 2025 payments were for
- Food and Beverage$106.61 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other periodontists in Idaho Falls
- 1225255748
- 1316670698