Kristian Clymer Dietz, DDS
NPI 1154550382ActiveIndividual· Dentist· Bentonville, AR
Dentist (DDS) in Bentonville, Arkansas, trained at Virginia Commonwealth Univ School of Dentistry (class of 2009). 55 Medicare patients in 2024, $10,260 paid; all of their 63 Part D prescriptions were generic. Dentsply Sirona Inc was the largest of 2 companies reporting payments in 2024, $61.59 in all, mostly food and beverage.
Overview
| NPI | 1154550382 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Jul 9, 2009 |
| Last updated in NPPES | Apr 7, 2026 |
| Certified by provider | Apr 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 2009014596 | MO |
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 Practitioner - Dentist (AR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 55 |
|---|---|
| Services billed | 216 across 4 procedure codes |
| Paid by Medicare | $10,260 |
Part D prescriptions in 2024
| Prescriptions (claims) | 63 · 63 30-day fills |
|---|---|
| Patients | 21 |
| Total drug cost | $321.15 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | Virginia Commonwealth Univ School of Dentistry |
|---|---|
| Graduation year | 2009 |
| Medicare specialty | Dentist |
| Telehealth | Offers telehealth |
Industry payments (Open Payments)
- 2024$61.59 · 2 payments from 2 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Dentsply Sirona Inc | $33.14 | 1 |
| Zest Holdings, LLC | $28.45 | 1 |
What the 2024 payments were for
- Food and Beverage$61.59 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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