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Carl Benton Fitzsimmons, D.D.S.

NPI 1396846010ActiveIndividual· Dentist· Plymouth, MN

Dentist (D.D.S.) in Plymouth, Minnesota, licensed in MN, with an NPI issued in September 2006. Part D covered 28 prescriptions written in 2024, 93% of them generic. Ultradent Products Inc reported $166.98 in payments in 2025, mostly gifts.

Overview

NPI1396846010
StatusActive
Entity typeIndividual
CredentialD.D.S.
Sole proprietorYes
NPI issuedSep 26, 2006
Last updated in NPPESJun 5, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000XD11044MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 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

Part D prescriptions in 2024

Prescriptions (claims)28 · 28 30-day fills
Patients23
Total drug cost$131.06
Generic share93% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$166.98 · 2 payments from 1 company
  • 2024$310.65 · 4 payments from 2 companies

Top paying companies in 2025

CompanyAmountPayments
Ultradent Products Inc$166.982

What the 2025 payments were for

  • Gift$166.98 · 2 payments

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

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