Samantha Katherine Deridder, DDS
NPI 1619559655ActiveIndividual· Dentist· Nevada City, CA
Dentist (DDS) in Nevada City, California, licensed in CA, with an NPI issued in April 2021. Part D covered 36 prescriptions written in 2024, 94% of them generic. Colgate Oral Pharmaceuticals, Inc. was the largest of 2 companies reporting payments in 2025, $89.26 in all, mostly education.
Overview
| NPI | 1619559655 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Apr 28, 2021 |
| Last updated in NPPES | Aug 22, 2022 |
| Certified by provider | Aug 22, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 107758 | 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) | 36 · 37 30-day fills |
|---|---|
| Patients | 33 |
| Total drug cost | $94.08 |
| Generic share | 94% of claims |
Industry payments (Open Payments)
- 2025$89.26 · 4 payments from 2 companies
- 2024$66.44 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Colgate Oral Pharmaceuticals, Inc. | $69.92 | 3 |
| Orapharma, A Division of Bausch Health US, LLC | $19.34 | 1 |
What the 2025 payments were for
- Education$69.92 · 3 payments
- Food and Beverage$19.34 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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