Chad Kelly Booth, D.M.D.
NPI 1942464078ActiveIndividual· Dentist· Provo, UT
Dentist (D.M.D.) in Provo, Utah, licensed in UT, with an NPI issued in July 2008. Part D covered 67 prescriptions written in 2024, 99% of them generic.
Overview
| NPI | 1942464078 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.M.D. |
| Sole proprietor | No |
| NPI issued | Jul 17, 2008 |
| Last updated in NPPES | Apr 15, 2020 |
| Certified by provider | Apr 15, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 6977043-9923 | UT |
| Dentist, General Practice | 1223G0001X | 6977043 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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) | 67 · 67 30-day fills |
|---|---|
| Patients | 47 |
| Total drug cost | $232.15 |
| Generic share | 99% of claims |
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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