Shawn Ray Petersen, D.D.S
NPI 1437363058ActiveIndividual· Dentist· Atlantic, IA
Dentist (D.D.S) in Atlantic, Iowa, licensed in IA, with an NPI issued in May 2007. Part D covered 119 prescriptions written in 2024, 100% of them generic. Ultradent Products Inc reported $13.46 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1437363058 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.D.S |
| Sole proprietor | No |
| NPI issued | May 10, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 08027 | IA |
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 - Dentist (IA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 119 · 123 30-day fills |
|---|---|
| Patients | 88 |
| Total drug cost | $459.77 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2024$13.46 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Ultradent Products Inc | $13.46 | 1 |
What the 2024 payments were for
- Food and Beverage$13.46 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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