LOLO WONG (D.D.S.) – Pediatric Dentistry, NPI 1073506960
Pediatric Dentistry
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LOLO WONG (D.D.S.)
1935 Medical District Dr
Dallas, TX 752357701
Phone: (214) 456-8800
Fax: (214) 456-8812
Type: Location
5700 Dallas Pkwy
Frisco, TX 750349580
Phone: (469) 515-7100
Type: Location
3800 Gaylord Pkwy Ste 850
Frisco, TX 750340248
Phone: (469) 857-2222
Type: Location
1204, Dickinson Drive, McKinney, Collin County, Texas, 75071, United States
MCKINNEY, TX 750717504
Phone: (972) 632-7915
Type: Mailing
3302, Gaston Avenue, Dallas, TX, Dallas, Dallas County, Texas, 75246, United States
TEXAS A&M/BAYLOR COLLEGE OF DENTISTRY
DALLAS, TX 752462013
Phone: (214) 828-8456
Type: Location
6300 Harry Hines Blvd
Dallas, TX 752355259
Phone: (214) 456-8800
Fax: (214) 456-8812
Type: Location
1250 W Mockingbird Ln Ste 500
Dallas, TX 752476934
Phone: (214) 456-8800
Fax: (214) 456-8812
Type: Location
2222 Welborn St
Dallas, TX 752193924
Phone: (214) 559-5000
Fax: (214) 443-7309
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2023-06-14 • Largest payer in this snapshot: DMG AMERICA LLC ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DMG AMERICA LLC | $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: 2016-12-21
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 |
|---|---|---|---|---|
| I20161221000314 | I | Pediatric Dentistry | TX | 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 75235)
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Reviews
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