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Charlotte Sunaina Jakkula

NPI 1386161248ActiveIndividual· Dentist· Peoria, IL

Dentist in Peoria, Illinois, licensed in IL, with an NPI issued in August 2017. Part D covered 136 prescriptions written in 2024, 100% of them generic.

Overview

NPI1386161248
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedAug 23, 2017
Last updated in NPPESAug 23, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X019031374IL

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)Enrolled Order and Referring Only - Dentist (IL)

Part D prescriptions in 2024

Prescriptions (claims)136 · 136 30-day fills
Patients99
Total drug cost$466.20
Generic share100% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

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

Other dentists in Peoria

All 66 dentists in Peoria · All dentists in Illinois