Grant Kollenborn
NPI 1548678758ActiveIndividual· Dentist, General Practice· Jackson, WY
Dentist, General Practice in Jackson, Wyoming, licensed in LA, with an NPI issued in July 2014. Part D covered 43 prescriptions written in 2024, 81% of them generic. Hu-Friedy Mfg. Co., LLC reported $40.00 in payments in 2025, mostly education.
Overview
| NPI | 1548678758 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jul 31, 2014 |
| Last updated in NPPES | Aug 7, 2026 |
| Certified by provider | Aug 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 6488 | LA |
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 (LA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 43 · 51 30-day fills |
|---|---|
| Patients | 28 |
| Total drug cost | $191.56 |
| Generic share | 81% of claims |
Industry payments (Open Payments)
- 2025$40.00 · 1 payment from 1 company
- 2024$104.54 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Hu-Friedy Mfg. Co., LLC | $40.00 | 1 |
What the 2025 payments were for
- Education$40.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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