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Edegar Vergara, DMD

Dentist · San Jose

NPI 1326463126

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
1
1 carrier
Office
1

Offices

1 location

Plans that list them

1 plan · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Vergara’s office at (669) 284-9988 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
AARP Medicare Advantage from UHC CA-10 (HMO-POS)UnitedHealthcareListed, may be out of dateJun 10, 2026

Medicaid work

$313,835 in 2024

Medicaid paid $313,835 for 7,286 billed services this clinician did in 2024, up to 85 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Service135$68,706
Service606$54,992
Service507$34,056
Service507$28,579
Service334$26,416
Service396$19,816
Service1,508$14,702
Service186$12,665
Service756$11,326
Service310$10,208
Service155$8,138
Service49$5,857
Medicaid work by year
20247,2861985$313,835
20235,1311759$151,616
20224,1361259$122,921
20213,7851451$114,519
20201,7981153$51,099
20199931030$28,810
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Service394$34,694
Service293$22,839
Service343$22,343
Service201$10,485
Service206$9,820
Service1,032$9,783
Service155$8,455
Service543$8,003
Service251$8,002
Service1,158$4,637
Service268$3,191
Service138$2,961

2022

Largest Medicaid services in 2022
Service337$29,680
Service303$19,793
Service227$17,978
Service262$12,360
Service971$9,200
Service257$8,176
Service155$7,830
Service520$7,713
Service255$3,010
Service723$2,908
Service49$2,621
Service77$1,652

2021

Largest Medicaid services in 2021
Service295$25,830
Service337$22,242
Service288$13,728
Service961$9,149
Service268$8,544
Service155$8,463
Service473$5,902
Service129$5,805
Service153$4,560
Service66$4,435
Service265$3,168
Service325$1,320

2020

Largest Medicaid services in 2020
Service197$13,002
Service128$10,980
Service157$7,536
Service134$4,288
Service429$4,061
Service235$2,879
Service83$2,490
Service155$1,860
Service34$1,856
Service28$1,260
Service218$887

2019

Largest Medicaid services in 2019
Service187$12,342
Service371$3,667
Service59$3,221
Service61$2,928
Service27$2,430
Service181$2,152
Service43$1,260
Service12$384
Service26$312
Service26$113

Drugs they prescribed that Part D paid

$157

Pharmacies billed $157 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their Part D prescriptions (0 of 40) in 2024. Too few prescriptions to judge: with under about 50 a year, a handful of patients can swing this share.

40 generic and 0 brand-name prescriptions · $157 in drug cost · 20 antibiotic prescriptions to 17 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Amoxicillin16$71$4
Ibuprofen13$30$2

Year by year

Part D prescribing by year
202440230% (0)0%$157
20235430NoneNone$349
20226632None0%$304
202147210% (0)0%$197
202031220% (0)0%$142
20195126None0%$411
201814NoneNone0%$81
20165026NoneNone$2,114
2015462437% (17)None$432
201411NoneNoneNone$66

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 2 drugs

Part D drugs prescribed in 2023
Amoxicillin21$111$5
Ibuprofen21$78$4

2022: 2 drugs

Part D drugs prescribed in 2022
Amoxicillin21$87$4
Ibuprofen30$84$3

2021: 2 drugs

Part D drugs prescribed in 2021
Ibuprofen19$49$3
Amoxicillin14$45$3

2020: 2 drugs

Part D drugs prescribed in 2020
Ibuprofen16$70$4
Amoxicillin12$63$5

2019: 2 drugs

Part D drugs prescribed in 2019
Amoxicillin19$120$6
Ibuprofen19$86$5

2016: 1 drug

Part D drugs prescribed in 2016
Amoxicillin13$57$4

2015: 2 drugs

Part D drugs prescribed in 2015
Hydrocodone-Acetaminophen12$52$4
Ibuprofen14$50$4

Money from drug and device companies

$431 in 2025

Industry payments by year
202512None$431
202411None$62
202311None$19
202212None$129
201912None$118

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Ultradent ProductsOpalescence$431
2 payments
  • Gift for Opalescence · 2025-11-26 · $141
  • Gift for Opalescence · 2025-11-26 · $290
See all 2 published payments
Every published payment
Ultradent ProductsGift · 2025-11-26Opalescence$141
Ultradent ProductsGift · 2025-11-26Opalescence$290
See earlier years (2024, 2023, 2022, 2019)

2024: $62

Payments by company in 2024
Ultradent ProductsOpalescence$62
1 payment
  • Gift for Opalescence · 2024-12-12 · $62

2023: $19

Payments by company in 2023
Ultradent ProductsOpalescence$19
1 payment
  • Meals for Opalescence · 2023-11-28 · $19

2022: $129

Payments by company in 2022
Ultradent ProductsOpalescence$129
2 payments
  • Gift for Opalescence · 2022-11-29 · $113
  • Meals for Opalescence · 2022-09-20 · $16

2019: $118

Payments by company in 2019
Straumann USANone$118
2 payments
  • Meals · 2019-06-27 · $68
  • Education · 2019-06-27 · $50

Professional record

NPI
1326463126
Licence
CA 63272, OH 30-024422
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 122300000X (122300000X)
Mailing address
4621 Capitan Dr, Fremont, CA, 94536
NPI first listed
2014-03-03
NPI last updated
2018-04-16

This is when the NPI record was last certified, not a medical board exam.