Kathi Ann Wilson, DDS
NPI 1144291477ActiveIndividual· Dentist· Grand Rapids, MI
Dentist (DDS) in Grand Rapids, Michigan, licensed in MI, with an NPI issued in January 2006. Mostly services rather than prescriptions: Medicare paid $9,781 for 88 patients in 2024, with only 14 Part D claims.
Overview
| NPI | 1144291477 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Jan 26, 2006 |
| Last updated in NPPES | Mar 11, 2025 |
| Certified by provider | Mar 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 17948 | MI |
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 Practitioner - Oral Surgery (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 88 |
|---|---|
| Services billed | 166 across 8 procedure codes |
| Paid by Medicare | $9,781 |
Part D prescriptions in 2024
| Prescriptions (claims) | 14 · 19 30-day fills |
|---|---|
| Total drug cost | $204.03 |
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Oral Surgery |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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