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Suho Bae, DDS

NPI 1841715992ActiveIndividual· Dentist, General Practice· Espanola, NM

Dentist, General Practice (DDS) in Espanola, New Mexico, licensed in NM, with an NPI issued in August 2017. Part D covered 75 prescriptions written in 2024, 100% of them generic.

Overview

NPI1841715992
StatusActive
Entity typeIndividual
CredentialDDS
Sole proprietorNo
NPI issuedAug 10, 2017
Last updated in NPPESAug 16, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001XDD4780NM

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Order and Referring Only - Dentist (NM)

Part D prescriptions in 2024

Prescriptions (claims)75 · 75 30-day fills
Patients41
Total drug cost$199.02
Generic share100% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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