Matthew Tyler Wall, DMD
NPI 1083247209ActiveIndividual· Dentist, General Practice· Aiken, SC
Dentist, General Practice (DMD) in Aiken, South Carolina, licensed in SC and GA, with an NPI issued in February 2020. Part D covered 110 prescriptions written in 2024, 98% of them generic. Ultradent Products Inc reported $128.49 in payments in 2025, mostly gifts.
Overview
| NPI | 1083247209 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | Yes |
| NPI issued | Feb 17, 2020 |
| Last updated in NPPES | May 10, 2022 |
| Certified by provider | May 10, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | DGD.9871GD | SC |
| Dentist, General Practice | 1223G0001X | DN016114 | GA |
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 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 110 · 112 30-day fills |
|---|---|
| Patients | 81 |
| Total drug cost | $535.63 |
| Generic share | 98% of claims |
Industry payments (Open Payments)
- 2025$128.49 · 1 payment from 1 company
- 2024$507.92 · 4 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Ultradent Products Inc | $128.49 | 1 |
What the 2025 payments were for
- Gift$128.49 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 48 general dentists in Aiken · All general dentists in South Carolina