Shannon Kenneth Moore, DMD MSED
NPI 1194855205ActiveIndividual· Dentist· Bloomington, IN
Dentist (DMD MSED) in Bloomington, Indiana, licensed in IN, with an NPI issued in March 2007. Part D covered 69 prescriptions written in 2024, 80% of them generic. Straumann USA LLC reported $459.30 in payments in 2025, mostly education.
Overview
| NPI | 1194855205 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD MSED |
| Sole proprietor | No |
| NPI issued | Mar 7, 2007 |
| Last updated in NPPES | Mar 16, 2022 |
| Certified by provider | Mar 16, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 12010311A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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) | 69 · 71 30-day fills |
|---|---|
| Patients | 46 |
| Total drug cost | $432.71 |
| Generic share | 80% of claims |
Industry payments (Open Payments)
- 2025$459.30 · 2 payments from 1 company
- 2024$77.30 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Straumann USA LLC | $459.30 | 2 |
What the 2025 payments were for
- Education$300.00 · 1 payment
- Food and Beverage$159.30 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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