RYLYN ROTH DDS
NPI 1093649121
Dentist in Bay City, MI

Active since June 12, 2026PECOS Enrolled
3884 MONITOR RD, BAY CITY, MI 48706(989) 922-5678(833) 448-3202 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rylyn Roth Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RYLYN ROTH DDS (NPI 1093649121) is an individual dentist in Bay City, Michigan, licensed in Michigan (2901603168) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and is a graduate of University Of Detroit Mercy School Of Dentistry (2026).

NPPES Registry Identity

NPI1093649121
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameRYLYN ROTHCredential: DDS
Location Address3884 MONITOR RDBay City, MI 48706-9298
Mailing Address501 Lapeer AveSaginaw, MI 48607-1203 · (989) 759-6464 · Fax (989) 399-8233
Fax(833) 448-3202
Sole ProprietorNo
Medical School CMSUniversity Of Detroit Mercy School Of DentistryGraduated 2026
Enumeration DateJune 12, 2026
NPPES CertifiedJune 12, 2026
✔ NPI 1093649121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 2901603168
Definition
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.
3884 MONITOR RD, Bay City, MI 48706

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rylyn Roth Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163995879
PECOS Enrollment IDI20260624003243
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Rylyn Roth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
501 LAPEER
Saginaw, MI 48607
  • Reassigned Medicare billing, Michigan enrollment
  • 229 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48706 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
3884 MONITOR RD
BAY CITY, MI 48706
Dental Hygienist
3884 MONITOR RD
BAY CITY, MI 48706
Nurse Practitioner (Family)
3884 MONITOR RD
BAY CITY, MI 48706
Nurse Practitioner (Family)
3884 MONITOR RD
BAY CITY, MI 48706
Dentist (General Practice)
3884 MONITOR RD
BAY CITY, MI 48706
Family Medicine
3884 MONITOR RD
BAY CITY, MI 48706
Nurse Practitioner (Family)
3884 MONITOR RD
BAY CITY, MI 48706
Pediatrics
3884 MONITOR RD
BAY CITY, MI 48706

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rylyn Roth's NPI number?

The NPI number for Rylyn Roth is 1093649121. It was assigned to this individual provider in the NPPES registry on June 12, 2026.

Where is Rylyn Roth located?

Rylyn Roth practices at 3884 Monitor Rd, Bay City, MI 48706. The listed phone number is (989) 922-5678.

What is Rylyn Roth's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Rylyn Roth enrolled in Medicare?

Yes. Rylyn Roth is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rylyn Roth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rylyn Roth reassigns Medicare benefits to Great Lakes Bay Health Centers (Saginaw, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rylyn Roth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rylyn Roth accept?

Health plans from BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Rylyn Roth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rylyn Roth was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.