Samantha L. Mahoney, DDS
NPI 1316506280ActiveIndividual· Dentist, General Practice· Clinton, MO
Dentist, General Practice (DDS) in Clinton, Missouri, licensed in MO and KS, with an NPI issued in June 2019. Enrolled in Medicare as practitioner - dentist.
Overview
| NPI | 1316506280 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Jun 13, 2019 |
| Last updated in NPPES | Mar 23, 2022 |
| Certified by provider | Mar 23, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 2019020712 | MO |
| Dentist, General Practice | 1223G0001X | 61612 | KS |
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 (MO) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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