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Katie Dawn Peterson, D.D.S

NPI 1033471263ActiveIndividual· Dentist, General Practice· Mountain Grove, MO

Dentist, General Practice (D.D.S) in Mountain Grove, Missouri, licensed in MO, with an NPI issued in June 2012. Part D covered 82 prescriptions written in 2024, 100% of them generic. Gc America Inc. reported $14.79 in payments in 2025, mostly food and beverage.

Overview

NPI1033471263
StatusActive
Entity typeIndividual
CredentialD.D.S
Sole proprietorYes
NPI issuedJun 13, 2012
Last updated in NPPESJun 13, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X2012015429MO

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Order and Referring Only - Maxillofacial Surgery (MO)

Part D prescriptions in 2024

Prescriptions (claims)82 · 82 30-day fills
Patients57
Total drug cost$350.23
Generic share100% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$14.79 · 1 payment from 1 company

Top paying companies in 2025

CompanyAmountPayments
Gc America Inc.$14.791

What the 2025 payments were for

  • Food and Beverage$14.79 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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