Shane Thomas Clark, DMD
NPI 1003220203ActiveIndividual· Dentist, Endodontics· Albuquerque, NM
Dentist, Endodontics (DMD) in Albuquerque, New Mexico, licensed in NM, with an NPI issued in June 2014. Part D covered 949 prescriptions written in 2024, 100% of them generic. Septodont Inc. was the largest of 2 companies reporting payments in 2025, $106.06 in all, mostly speaking and faculty fees.
Overview
| NPI | 1003220203 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | No |
| NPI issued | Jun 16, 2014 |
| Last updated in NPPES | Sep 26, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | DD4100 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Dentist (NM) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 949 · 949 30-day fills |
|---|---|
| Patients | 362 |
| Total drug cost | $5,835 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2025$106.06 · 3 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Septodont Inc. | $83.08 | 2 |
| Dentsply Sirona Inc | $22.98 | 1 |
What the 2025 payments were for
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$83.08 · 2 payments
- Food and Beverage$22.98 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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