Lucas Kwangsu Shin, DMD
NPI 1467916478ActiveIndividual· Dentist, Prosthodontics· Fayetteville, NC
Dentist, Prosthodontics (DMD) in Fayetteville, North Carolina, licensed in NC, with an NPI issued in January 2019. Benco Dental Supply Co. reported $66.37 in payments in 2025, mostly honoraria.
Overview
| NPI | 1467916478 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | No |
| NPI issued | Jan 23, 2019 |
| Last updated in NPPES | Apr 24, 2025 |
| Certified by provider | Apr 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Prosthodontics Primary | 1223P0700X | 11976 | NC |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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 |
|---|
Industry payments (Open Payments)
- 2025$66.37 · 3 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Benco Dental Supply Co. | $66.37 | 3 |
What the 2025 payments were for
- Honoraria$66.37 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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