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Dean Duval Dietrich, D.M.D.

NPI 1548359722ActiveIndividual· Dentist, General Practice· Dolton, IL

Opted out of Medicare from January 2017 to January 2027. Dentist, General Practice (D.M.D.) in Dolton, Illinois, licensed in IL, with an NPI issued in October 2006. Part D covered 42 prescriptions written in 2024, 100% of them generic.

Overview

NPI1548359722
StatusActive
Entity typeIndividual
CredentialD.M.D.
Sole proprietorNo
NPI issuedOct 12, 2006
Last updated in NPPESNov 28, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X019020148IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No 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-outOpted out Jan 17, 2017 – Jan 17, 2027
Can order and referYes

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Part D prescriptions in 2024

Prescriptions (claims)42 · 44 30-day fills
Patients25
Total drug cost$143.75
Generic share100% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other general dentists in Dolton

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