Kenneth Earl Moore, DDS
NPI 1811035306ActiveIndividual· Dentist· Roseville, CA
Opted out of Medicare from February 2014 to February 2028. Dentist (DDS) in Roseville, California, licensed in CA, with an NPI issued in February 2007. Part D covered 97 prescriptions written in 2024, 32% of them generic. Ultradent Products Inc reported $290.49 in payments in 2025, mostly gifts.
Overview
| NPI | 1811035306 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Feb 5, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | CA30946 | CA |
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 |
|---|---|
| Opt-out | Opted out Feb 24, 2014 – Feb 24, 2028 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 97 · 116 30-day fills |
|---|---|
| Patients | 46 |
| Total drug cost | $1,056 |
| Generic share | 32% of claims |
Industry payments (Open Payments)
- 2025$290.49 · 1 payment from 1 company
- 2024$124.59 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Ultradent Products Inc | $290.49 | 1 |
What the 2025 payments were for
- Gift$290.49 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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