Elizabeth A. Wagner, DMD
NPI 1588740492ActiveIndividual· Dentist, General Practice· Dodgeville, WI
Dentist, General Practice (DMD) in Dodgeville, Wisconsin, licensed in WI and GA, with an NPI issued in October 2006. Part D covered 121 prescriptions written in 2024, 67% of them generic. Dash Medical Gloves LLC reported $290.00 in payments in 2024, mostly gifts.
Overview
| NPI | 1588740492 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | No |
| NPI issued | Oct 31, 2006 |
| Last updated in NPPES | Apr 13, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 4920-15 | WI |
| Dentist, General Practice | 1223G0001X | 11805 | GA |
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 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 121 · 123 30-day fills |
|---|---|
| Patients | 71 |
| Total drug cost | $1,032 |
| Generic share | 67% of claims |
Industry payments (Open Payments)
- 2024$290.00 · 5 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Dash Medical Gloves LLC | $290.00 | 5 |
What the 2024 payments were for
- Gift$290.00 · 5 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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