Tyler Blaine Peterson, D.D.S.
NPI 1306074836ActiveIndividual· Dentist, Endodontics· Burnsville, MN
Dentist, Endodontics (D.D.S.) in Burnsville, Minnesota, licensed in MN, with an NPI issued in June 2009. Part D covered 84 prescriptions written in 2024, 100% of them generic. Sonendo Inc was the largest of 3 companies reporting payments in 2025, $205.20 in all, mostly food and beverage.
Overview
| NPI | 1306074836 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.D.S. |
| Sole proprietor | No |
| NPI issued | Jun 23, 2009 |
| Last updated in NPPES | Jun 18, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | D12671 | MN |
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 Order and Referring Only - Oral Surgery (MN) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 84 · 84 30-day fills |
|---|---|
| Patients | 66 |
| Total drug cost | $502.10 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2025$205.20 · 5 payments from 3 companies
- 2024$24.88 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Sonendo Inc | $163.19 | 3 |
| Dentsply Sirona Inc | $37.18 | 1 |
| Nusmile, Ltd. | $4.83 | 1 |
What the 2025 payments were for
- Food and Beverage$205.20 · 5 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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