Mark Crandall Fullmer, DDS
NPI 1568684470ActiveIndividual· Dentist· Springville, UT
Dentist (DDS) in Springville, Utah, licensed in UT, with an NPI issued in May 2007. Part D covered 86 prescriptions written in 2024, 100% of them generic. Ultradent Products Inc was the largest of 4 companies reporting payments in 2024, $365.98 in all, mostly gifts.
Overview
| NPI | 1568684470 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | Yes |
| NPI issued | May 2, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 143367-9921 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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) | 86 · 86 30-day fills |
|---|---|
| Patients | 55 |
| Total drug cost | $547.75 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2024$365.98 · 5 payments from 4 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Ultradent Products Inc | $187.96 | 2 |
| Ivoclar Vivadent, Inc. | $129.97 | 1 |
| Solventum Corporation | $26.31 | 1 |
| Envista Holdings Corporation | $21.74 | 1 |
What the 2024 payments were for
- Gift$187.96 · 2 payments
- Food and Beverage$178.02 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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