Dale Woodall Clark, DMD
NPI 1144339177ActiveIndividual· Dentist· Russellville, KY
Opted out of Medicare from February 2016 to February 2028. Dentist (DMD) in Russellville, Kentucky, licensed in KY, with an NPI issued in August 2006. Part D covered 208 prescriptions written in 2024, 100% of them generic. Colgate Oral Pharmaceuticals, Inc. reported $17.48 in payments in 2025, mostly education.
Overview
| NPI | 1144339177 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | No |
| NPI issued | Aug 30, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 5933 | KY |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Feb 1, 2016 – Feb 1, 2028 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 208 · 208 30-day fills |
|---|---|
| Patients | 137 |
| Total drug cost | $853.42 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2025$17.48 · 1 payment from 1 company
- 2024$14.57 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Colgate Oral Pharmaceuticals, Inc. | $17.48 | 1 |
What the 2025 payments were for
- Education$17.48 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dentist providers in Russellville
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