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Jennifer Kristine Wallace, DMD

NPI 1316930233ActiveIndividual· Dentist, General Practice· Beaufort, SC

Opted out of Medicare from February 2017 to February 2027. Dentist, General Practice (DMD) in Beaufort, South Carolina, licensed in SC, with an NPI issued in August 2005. Part D covered 38 prescriptions written in 2024, 100% of them generic. A-Dec, Inc. reported $615.00 in payments in 2025, mostly gifts.

Overview

NPI1316930233
StatusActive
Entity typeIndividual
CredentialDMD
Sole proprietorNo
NPI issuedAug 25, 2005
Last updated in NPPESJul 8, 2007

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X3538SC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Feb 16, 2017 – Feb 16, 2027
Can order and referYes

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Part D prescriptions in 2024

Prescriptions (claims)38 · 38 30-day fills
Patients26
Total drug cost$92.45
Generic share100% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$615.00 · 1 payment from 1 company
  • 2024$26.54 · 2 payments from 2 companies

Top paying companies in 2025

CompanyAmountPayments
A-Dec, Inc.$615.001

What the 2025 payments were for

  • Gift$615.00 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other general dentists in Beaufort

All 60 general dentists in Beaufort · All general dentists in South Carolina