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Grant Dee Petersen, D.D.S.

NPI 1790031128ActiveIndividual· Dentist· Fort Wainwright, AK

Dentist (D.D.S.) in Fort Wainwright, Alaska, licensed in CO, with an NPI issued in August 2012. Part D covered 129 prescriptions written in 2024, 100% of them generic. Dentsply Sirona Inc was the largest of 5 companies reporting payments in 2025, $1,685 in all, mostly food and beverage.

Overview

NPI1790031128
StatusActive
Entity typeIndividual
CredentialD.D.S.
Sole proprietorYes
NPI issuedAug 3, 2012
Last updated in NPPESJul 16, 2013

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000XDEN.00201800CO

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No 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)129 · 129 30-day fills
Patients48
Total drug cost$717.00
Generic share100% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$1,685 · 16 payments from 5 companies
  • 2024$151.78 · 4 payments from 3 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$934.72 · 15 payments
  • Education$750.00 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Dentist providers in Fort Wainwright

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