Clint Dawson Koen, DDS
NPI 1629143789ActiveIndividual· Dentist, Pediatric Dentistry· Conway, AR
Dentist, Pediatric Dentistry (DDS) in Conway, Arkansas, licensed in AR, with an NPI issued in November 2006. Patterson Companies, Inc. reported $114.30 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1629143789 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Nov 22, 2006 |
| Last updated in NPPES | Jun 26, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | 3587 | AR |
| Dentist, General Practice | 1223G0001X | 3587 | AR |
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$114.30 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Patterson Companies, Inc. | $114.30 | 2 |
What the 2025 payments were for
- Food and Beverage$114.30 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other pediatric dentists in Conway
- 1245952472
- 1467891606
- 1508882465
- 1619960440
- 1669890349
- 1811913999