Michael J. Wallace, DDS
NPI 1417014424ActiveIndividual· Dentist· Edmond, OK
Dentist (DDS) in Edmond, Oklahoma, licensed in OK, with an NPI issued in January 2007. Part D covered 79 prescriptions written in 2024, 100% of them generic. Patterson Companies, Inc. was the largest of 4 companies reporting payments in 2024, $1,929 in all, mostly education.
Overview
| NPI | 1417014424 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | Yes |
| NPI issued | Jan 2, 2007 |
| Last updated in NPPES | Jan 28, 2021 |
| Certified by provider | Jan 26, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 5801 | OK |
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 (OK) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 79 · 85 30-day fills |
|---|---|
| Patients | 47 |
| Total drug cost | $1,035 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2024$1,929 · 27 payments from 4 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Patterson Companies, Inc. | $750.00 | 1 |
| Ultradent Products Inc | $676.26 | 7 |
| Dentsply Sirona Inc | $489.00 | 18 |
| Philips North America LLC | $13.92 | 1 |
What the 2024 payments were for
- Education$926.04 · 11 payments
- Gift$592.39 · 6 payments
- Food and Beverage$410.75 · 10 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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