Sergio Mauricio Moeller Zevallos, DDS, MS
NPI 1790970663ActiveIndividual· Dentist, Prosthodontics· Ann Arbor, MI
Dentist, Prosthodontics (DDS, MS) in Ann Arbor, Michigan, licensed in MI, with an NPI issued in September 2007. Part D covered 139 prescriptions written in 2024, 100% of them generic. Straumann USA LLC reported $14.37 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1790970663 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS, MS |
| Sole proprietor | Yes |
| NPI issued | Sep 13, 2007 |
| Last updated in NPPES | Dec 1, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Prosthodontics Primary | 1223P0700X | 2901018235 | MI |
| Dentist | 122300000X | 2901018235 | MI |
| Dentist, General Practice | 1223G0001X | 2901018235 | MI |
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) | Enrolled Order and Referring Only - Dentist (MI) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 139 · 139 30-day fills |
|---|---|
| Patients | 44 |
| Total drug cost | $739.80 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2025$14.37 · 1 payment from 1 company
- 2024$331.29 · 9 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Straumann USA LLC | $14.37 | 1 |
What the 2025 payments were for
- Food and Beverage$14.37 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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