DR. LEWIS JOHN DILLARD (DDS) – Dentist, NPI 1124688841
Dentist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
67 MAXILLOFACIAL SURGERY in GA
Provider Addresses for DR. LEWIS JOHN DILLARD (DDS)
3400C Old Milton Pkwy Ste 525
Alpharetta, GA 300054438
Phone: (770) 475-3190
Type: Location
Temple University Hospital, 3401, North Broad Street, Philadelphia, Philadelphia County, Pennsylvania, 19140, United States
PHILADELPHIA, PA 191405189
Phone:
Type: Mailing
5283 BELLS FERRY RD
ACWORTH, GA 301022500
Phone: (770) 516-7153
Type: Location
5283 BELLS FERRY RD # RR
ACWORTH, GA 301022500
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 32 Open Payments records for all available years, with a total value of $2,533.
Total Amount is formed as General ($2,533) + Research ($0) + Ownership ($0) = $2,533.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ZIMVIE INC. ($2,007).
Total Amount
$2,533
General + Research + Ownership
Payments
32
Total payment records
General Amount
$2,533
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ZIMVIE INC. | $2,007 |
| DePuy Synthes Sales Inc. | $450 |
| Align Technology, Inc. | $45 |
| BIOLASE, INC. | $16 |
| Inspire Medical Systems, Inc. | $15 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-08-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240801003254 | I | Maxillofacial Surgery | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30005)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Maxillofacial Surgery, Oral Surgery | LA | |
| - | GA | |
| Maxillofacial Surgery, Oral Surgery | GA | |
| Maxillofacial Surgery, Oral Surgery | GA | |
| - | GA | |
| Oral Surgery, Maxillofacial Surgery | GA | |
| Maxillofacial Surgery, Oral Surgery | GA | |
| Maxillofacial Surgery, Oral Surgery | MD | |
| Maxillofacial Surgery, Oral Surgery | FL | |
| Maxillofacial Surgery, Oral Surgery | GA |
Reviews
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