Ivy Bass Mitcham, DDS
NPI 1235238221ActiveIndividual· Dentist· Katy, TX
Opted out of Medicare from April 2016 to April 2028. Dentist (DDS) in Katy, Texas, licensed in TX, with an NPI issued in September 2006. Ultradent Products Inc reported $3.40 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1235238221 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Sep 22, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 15439 | TX |
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 |
|---|---|
| Opt-out | Opted out Apr 8, 2016 – Apr 8, 2028 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Industry payments (Open Payments)
- 2024$3.40 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Ultradent Products Inc | $3.40 | 1 |
What the 2024 payments were for
- Food and Beverage$3.40 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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