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Orissa Nitibhon, DMD

NPI 1902672066ActiveIndividual· Dentist, General Practice· Menomonie, WI

Dentist, General Practice (DMD) in Menomonie, Wisconsin, licensed in WI, with an NPI issued in November 2023. Part D covered 33 prescriptions written in 2024, 82% of them generic.

Overview

NPI1902672066
StatusActive
Entity typeIndividual
CredentialDMD
Sole proprietorNo
NPI issuedNov 29, 2023
Last updated in NPPESJan 23, 2025
Certified by providerJan 23, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X6001518-15WI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 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

Part D prescriptions in 2024

Prescriptions (claims)33 · 38 30-day fills
Patients25
Total drug cost$227.49
Generic share82% 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 Dentist, General Practice providers in Menomonie

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