Randal Todd Wilson, DMD
NPI 1063846459ActiveIndividual· Dentist· Burley, ID
Dentist (DMD) in Burley, Idaho, licensed in ID, with an NPI issued in August 2013. Part D covered 14 prescriptions written in 2024, 100% of them generic. Hologic Sales and Service, LLC reported $24.14 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1063846459 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | No |
| NPI issued | Aug 21, 2013 |
| Last updated in NPPES | Mar 17, 2021 |
| Certified by provider | Mar 17, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | D-4526 | ID |
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) | Enrolled Order and Referring Only - Dentist (ID) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 14 · 14 30-day fills |
|---|---|
| Total drug cost | $58.24 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2025$24.14 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Hologic Sales and Service, LLC | $24.14 | 1 |
What the 2025 payments were for
- Food and Beverage$24.14 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dentist providers in Burley
- 1871763649
- 1366857161
- 1346473550
- 1316322167
- 1508504440