Kadie Ann Koolwick, DDS
NPI 1639797640ActiveIndividual· Dentist· Grand Rapids, MI
Dentist (DDS) in Grand Rapids, Michigan, licensed in MI, with an NPI issued in July 2020. Part D covered 32 prescriptions written in 2024, 94% of them generic. Ultradent Products Inc reported $46.99 in payments in 2024, mostly gifts.
Overview
| NPI | 1639797640 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Jul 7, 2020 |
| Last updated in NPPES | Jul 7, 2020 |
| Certified by provider | Jul 7, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 2901600589 | MI |
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) | 32 · 32 30-day fills |
|---|---|
| Patients | 27 |
| Total drug cost | $136.14 |
| Generic share | 94% of claims |
Industry payments (Open Payments)
- 2024$46.99 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Ultradent Products Inc | $46.99 | 1 |
What the 2024 payments were for
- Gift$46.99 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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