THEODORE JAMES, DDS

Oral and Maxillofacial Surgery (Dentist) · AMMON, ID

Individual Active Opted out of Medicare NPI 1841726593

Medicare payment data Part B · 2022

YearBeneficiariesServicesSubmittedAllowedPaid
20225483$73,897$11,990$9,428

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral and Maxillofacial Surgery (Dentist)1223S0112XD-5258ID
Oral and Maxillofacial Surgery (Dentist)1223S0112XDS041404PA
Student in an Organized Health Care Education/Training Program390200000X

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
No
Hospice
Yes

Opted out of Medicare (Oral Surgery), effective 2026-04-02 through 2028-04-02.

Other Oral and Maxillofacial Surgery (Dentist) providers in Idaho

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.