Matthew Vaughn Jacobsen, DDS
NPI 1952659708ActiveIndividual· Dentist, Pediatric Dentistry· Riverton, UT
Dentist, Pediatric Dentistry (DDS) in Riverton, Utah, licensed in UT, with an NPI issued in August 2012. Benco Dental Supply Co. reported $17.28 in payments in 2024, mostly honoraria.
Overview
| NPI | 1952659708 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Aug 28, 2012 |
| Last updated in NPPES | Feb 3, 2021 |
| Certified by provider | Feb 3, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | 8320347-9922 | UT |
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 |
|---|
Industry payments (Open Payments)
- 2024$17.28 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Benco Dental Supply Co. | $17.28 | 1 |
What the 2024 payments were for
- Honoraria$17.28 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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