Sally Ann Keese Clark, D.D.S.
NPI 1124227335ActiveIndividual· Dentist· Hot Springs, SD
Dentist (D.D.S.) in Hot Springs, South Dakota, licensed in NE and SD, with an NPI issued in July 2007. Part D covered 72 prescriptions written in 2024, 64% of them generic. Ultradent Products Inc reported $252.59 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1124227335 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.D.S. |
| Sole proprietor | No |
| NPI issued | Jul 17, 2007 |
| Last updated in NPPES | Jan 22, 2026 |
| Certified by provider | Jan 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 7190 | NE |
| Dentist, General Practice | 1223G0001X | D0630 | SD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 72 · 81 30-day fills |
|---|---|
| Patients | 48 |
| Total drug cost | $493.76 |
| Generic share | 64% of claims |
Industry payments (Open Payments)
- 2024$252.59 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Ultradent Products Inc | $252.59 | 1 |
What the 2024 payments were for
- Food and Beverage$252.59 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dentist providers in Hot Springs
- 1881625085