Doctor profile · Federal record

Dr. KENNETH WILTBANK, D.M.D.

Dentist · LAKE OSWEGO, OR

  • NPI 1003015496
  • 19 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
320 A AVE
LAKE OSWEGO, OR 970343056
(503) 636-3383
Mailing address
320 A AVENUE
LAKE OSWEGO, OR 97034

Credentials & registration

NPPES · NUCC
NPI registered
July 2007 — 19 yrs on file
Specialty taxonomy
122300000X — NUCC code
State license (1)
Oregon #D7468

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1003015496. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$112
Transactions
2
Manufacturers
2
Payer (manufacturer) Industry Txns Amount
Sonendo Inc 1 $93.66
Henry Schein, Inc. 1 $17.84

By nature of payment

Food and Beverage
$94
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
$18

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
30
Patients
28
Total drug cost
$115
Drug Type Claims Patients Total cost
Amoxicillin Generic 30 28 $115

Methodology · sources used on this page

All figures on this page come from publicly available federal datasets. We do not edit, score, or summarise the underlying data. Profile generated May 21, 2026.

NPPES Provider identifiers and practice info May 11, 2026
Open Payments Industry payments to providers (Sunshine Act) May 11, 2026
Medicare Procedure Utilization Services and allowed amounts by HCPCS May 11, 2026
Medicare Part D Prescription drug claims May 11, 2026
CMS MIPS Quality performance scores May 11, 2026
OIG LEIE Federal exclusion / sanctions list May 11, 2026

Information based on publicly available federal data. Not medical advice. Report incorrect data ›