Komaldeep Ghotra
NPI 1962196535ActiveIndividual· Dentist· Birmingham, AL
Dentist in Birmingham, Alabama, licensed in AL, with an NPI issued in June 2023. Enrolled in Medicare as order and referring only - dentist. Ultradent Products Inc reported $12.73 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1962196535 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 6, 2023 |
| Last updated in NPPES | Jul 18, 2024 |
| Certified by provider | Jul 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | D.007359-C1 | AL |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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 (AL) |
|---|
Industry payments (Open Payments)
- 2024$12.73 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Ultradent Products Inc | $12.73 | 1 |
What the 2024 payments were for
- Food and Beverage$12.73 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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