Jacob Wagner Mitchell
NPI 1063190734ActiveIndividual· Dentist· Mountain Home, AR
Dentist in Mountain Home, Arkansas, licensed in AR, with an NPI issued in July 2023. Part D covered 272 prescriptions written in 2024, 100% of them generic. Align Technology, Inc. reported $14.62 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1063190734 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 11, 2023 |
| Last updated in NPPES | Jul 11, 2023 |
| Certified by provider | Jul 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 4692 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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) | 272 · 273 30-day fills |
|---|---|
| Patients | 145 |
| Total drug cost | $1,540 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2025$14.62 · 2 payments from 1 company
- 2024$206.54 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Align Technology, Inc. | $14.62 | 2 |
What the 2025 payments were for
- Food and Beverage$14.62 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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