Jacob Dean Kelly, D.D.S.
NPI 1457769457ActiveIndividual· Dentist, General Practice· Roseville, CA
Dentist, General Practice (D.D.S.) in Roseville, California, licensed in CA, with an NPI issued in July 2014. Part D covered 67 prescriptions written in 2024, 91% of them generic. Elevate Oral Care was the largest of 3 companies reporting payments in 2025, $96.87 in all, mostly food and beverage.
Overview
| NPI | 1457769457 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.D.S. |
| Sole proprietor | No |
| NPI issued | Jul 23, 2014 |
| Last updated in NPPES | Jul 1, 2021 |
| Certified by provider | Jul 1, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 63699 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No 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) | 67 · 76 30-day fills |
|---|---|
| Patients | 39 |
| Total drug cost | $645.50 |
| Generic share | 91% of claims |
Industry payments (Open Payments)
- 2025$96.87 · 4 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Elevate Oral Care | $34.37 | 2 |
| Solventum Corporation | $31.71 | 1 |
| Straumann USA LLC | $30.79 | 1 |
What the 2025 payments were for
- Food and Beverage$96.87 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 150 general dentists in Roseville · All general dentists in California