Cordell Lake, DDS
NPI 1255744405ActiveIndividual· Dentist· Farmington, MO
Dentist (DDS) in Farmington, Missouri, licensed in MO, with an NPI issued in June 2014. Part D covered 71 prescriptions written in 2024, 100% of them generic. Dentsply Sirona Inc reported $101.15 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1255744405 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | Yes |
| NPI issued | Jun 5, 2014 |
| Last updated in NPPES | Mar 4, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 2014016814 | MO |
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) | 71 · 71 30-day fills |
|---|---|
| Patients | 59 |
| Total drug cost | $284.94 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2024$101.15 · 2 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Dentsply Sirona Inc | $101.15 | 2 |
What the 2024 payments were for
- Food and Beverage$101.15 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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