Jaclyn Nicole Johnson, D.D.S.
NPI 1508248022ActiveIndividual· Dentist· Kingwood, WV
Dentist (D.D.S.) in Kingwood, West Virginia, licensed in WV, with an NPI issued in June 2015. Part D covered 23 prescriptions written in 2024, 100% of them generic. Benco Dental Supply Co. was the largest of 2 companies reporting payments in 2024, $165.39 in all, mostly honoraria.
Overview
| NPI | 1508248022 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.D.S. |
| Sole proprietor | No |
| NPI issued | Jun 20, 2015 |
| Last updated in NPPES | Jun 20, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 4171 | WV |
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 (WV) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 23 · 23 30-day fills |
|---|---|
| Patients | 19 |
| Total drug cost | $156.86 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2024$165.39 · 5 payments from 2 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Benco Dental Supply Co. | $148.31 | 4 |
| Dentsply Sirona Inc | $17.08 | 1 |
What the 2024 payments were for
- Honoraria$148.31 · 4 payments
- Food and Beverage$17.08 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dentist providers in Kingwood
- 1538132865
- 1649201443
- 1588116040
- 1295185999