Azaryas Tadiwos Mandefro, DMD
NPI 1881922193ActiveIndividual· Dentist· Arnold, MO
Dentist (DMD) in Arnold, Missouri, licensed in MO, with an NPI issued in November 2009. Part D covered 104 prescriptions written in 2024, 99% of them generic. Dentsply Sirona Inc was the largest of 2 companies reporting payments in 2025, $31.50 in all, mostly food and beverage.
Overview
| NPI | 1881922193 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | Yes |
| NPI issued | Nov 24, 2009 |
| Last updated in NPPES | May 6, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 2009032198 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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) | 104 · 104 30-day fills |
|---|---|
| Patients | 58 |
| Total drug cost | $333.39 |
| Generic share | 99% of claims |
Industry payments (Open Payments)
- 2025$31.50 · 2 payments from 2 companies
- 2024$37.20 · 3 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Dentsply Sirona Inc | $17.99 | 1 |
| Ultradent Products Inc | $13.51 | 1 |
What the 2025 payments were for
- Food and Beverage$31.50 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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