Dean Tiboris, DMD
NPI 1003139700ActiveIndividual· Oral & Maxillofacial Surgery· Kenosha, WI
Opted out of Medicare from June 2017 to June 2027. Oral & Maxillofacial Surgery (DMD) in Kenosha, Wisconsin, licensed in WI, with an NPI issued in March 2010. Part D covered 445 prescriptions written in 2024, 100% of them generic. Dentsply LLC was the largest of 4 companies reporting payments in 2025, $1,733 in all, mostly speaking and faculty fees.
Overview
| NPI | 1003139700 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | Yes |
| NPI issued | Mar 9, 2010 |
| Last updated in NPPES | Jun 10, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Oral & Maxillofacial Surgery Primary | 204E00000X | 7210-15 | WI |
| 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Jun 19, 2017 – Jun 19, 2027 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 445 · 445 30-day fills |
|---|---|
| Patients | 163 |
| Total drug cost | $1,201 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2025$1,733 · 9 payments from 4 companies
- 2024$382.48 · 9 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Dentsply LLC | $1,600 | 2 |
| Dentsply Sirona Inc | $76.32 | 4 |
| Zimvie Inc. | $38.71 | 2 |
| Biohorizons Implant Systems Inc. | $18.24 | 1 |
What the 2025 payments were for
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$1,600 · 2 payments
- Food and Beverage$133.27 · 7 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records