DR. KENNETH BYRON WILTBANK D.M.D.
NPI 1003015496
Dentist in Lake Oswego, OR

NPI Status: Active since July 16, 2007

Contact Information

320 A AVE
LAKE OSWEGO, OR
ZIP 97034
Phone: (503) 636-3383

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  • Individual
  • Male
  • Dentist
  • PECOS Enrolled

About KENNETH WILTBANK

Kenneth Wiltbank is a provider established in Lake Oswego, Oregon and his medical specialization is Dentist. The healthcare provider is registered in the NPI registry with number 1003015496 assigned on July 2007. The practitioner's primary taxonomy code is 122300000X with license number D7468 (OR). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1003015496
Provider Name
DR. KENNETH BYRON WILTBANK D.M.D.
Gender
Male
Entity Type
Individual
Location Address
320 A AVE LAKE OSWEGO, OR 97034
Location Phone
(503) 636-3383
Mailing Address
320 A AVENUE LAKE OSWEGO, OR 97034
Mailing Phone
(503) 636-3383
Is Sole Proprietor?
No
Enumeration Date
07-16-2007
Last Update Date
07-16-2007
Code Navigator

A dentist like Kenneth Wiltbank is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
License No.
D7468
License State
OR
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

PECOS Enrollment and Medicare Participation Status

Kenneth Wiltbank is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 97034 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $92.69
  • Minimum New Patient Price $60.52
  • Maximum New Patient Price $182.22
  • Average New Patient Copayment $23.17
  • Minimum New Patient Copayment $15.13
  • Maximum New Patient Copayment $45.55

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $75.67
  • Minimum Established Patient Price $19.23
  • Maximum Established Patient Price $149.48
  • Average Established Patient Copayment $18.91
  • Minimum Established Patient Copayment $4.8
  • Maximum Established Patient Copayment $37.37

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. KENNETH BYRON WILTBANK D.M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003015496
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030110418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 0 + 4 + 1 + 8 + 24 = 44
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 44 = 66

The NPI number 1003015496 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1902803984DR. JEFFREY B VANORMAN DMD
Individual
Dentist (General Practice)320 A AVE
LAKE OSWEGO, OR 97034
(503) 675-0250
1255339669DR. LYNN J STRAND D.M.D.
Individual
Dentist (Endodontics)320 A AVE
LAKE OSWEGO, OR 97034
(503) 636-3383
1659320117 J DOUGLAS STAHL O.D.
Individual
Optometrist320 A AVE
LAKE OSWEGO, OR 97034
(503) 636-2762
1366793192OREGON ENDODONTIC GROUP
Organization
Dentist (Endodontics)320 A AVE
LAKE OSWEGO, OR 97034
(503) 636-3383
1407897200DR JEFFREY B VAN ORMAN
Organization
Dentist (General Practice)320 A AVE
LAKE OSWEGO, OR 97034
(503) 675-0250
1629095526ROBERT H. WOOLF, DDS, PC
Organization
Dentist (Periodontics)320 A AVE
LAKE OSWEGO, OR 97034
(503) 635-3584

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003015496, enumerated in the NPI registry as an "individual" on July 16, 2007

The provider is located at 320 A Ave Lake Oswego, Or 97034 and the phone number is (503) 636-3383

The provider's speciality is Dentist with taxonomy code 122300000X

Yes, as of May 21, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

Medicare beneficiaries should expect a typical cost of $92.69 with an average copayment of $23.17 for new patient appointments. Established patients should expect a typical charge of $75.67 and an average copayment of 18.91. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on July 16, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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