Stacy Jerald Moon, DDS
NPI 1881645166ActiveIndividual· Dentist· Boise, ID
Dentist (DDS) in Boise, Idaho, licensed in ID, with an NPI issued in May 2006. Enrolled in Medicare as order and referring only - dentist. Straumann USA LLC was the largest of 3 companies reporting payments in 2025, $179.79 in all, mostly food and beverage.
Overview
| NPI | 1881645166 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | Yes |
| NPI issued | May 12, 2006 |
| Last updated in NPPES | Jul 6, 2023 |
| Certified by provider | Jul 6, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | D3387 | ID |
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 (ID) |
|---|
Industry payments (Open Payments)
- 2025$179.79 · 6 payments from 3 companies
- 2024$610.69 · 22 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Straumann USA LLC | $139.54 | 4 |
| Dentsply Sirona Inc | $21.78 | 1 |
| Zest Holdings, LLC | $18.47 | 1 |
What the 2025 payments were for
- Food and Beverage$179.79 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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