Matthew David Tillman, DDS
NPI 1073809133ActiveIndividual· Dentist, Pediatric Dentistry· Murrells Inlet, SC
Dentist, Pediatric Dentistry (DDS) in Murrells Inlet, South Carolina, licensed in SC and TN, with an NPI issued in June 2011. Enrolled in Medicare as order and referring only - dentist. Ultradent Products Inc reported $3.84 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1073809133 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Jun 27, 2011 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | 940 | SC |
| Dentist | 122300000X | 7129 | SC |
| Dentist, Pediatric Dentistry | 1223P0221X | 9343 | TN |
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 (SC) |
|---|
Industry payments (Open Payments)
- 2024$3.84 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Ultradent Products Inc | $3.84 | 1 |
What the 2024 payments were for
- Food and Beverage$3.84 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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