Jack Guo
NPI 1669110599ActiveIndividual· Dentist, Endodontics· O Fallon, MO
Dentist, Endodontics in O Fallon, Missouri, licensed in MO, with an NPI issued in May 2022. Part D covered 25 prescriptions written in 2024, 100% of them generic. Dentsply Sirona Inc reported $58.17 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1669110599 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | May 20, 2022 |
| Last updated in NPPES | Jul 16, 2026 |
| Certified by provider | Jul 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | 2024015466 | MO |
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 (AR) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 25 · 25 30-day fills |
|---|---|
| Patients | 15 |
| Total drug cost | $73.86 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2025$58.17 · 2 payments from 1 company
- 2024$42.52 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Dentsply Sirona Inc | $58.17 | 2 |
What the 2025 payments were for
- Food and Beverage$58.17 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dentist, Endodontics providers in O Fallon
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