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Kelly Pater Hearn, DDS

NPI 1811156748ActiveIndividual· Dentist, General Practice· Benton Harbor, MI

Opted out of Medicare from August 2025 to August 2027. Dentist, General Practice (DDS) in Benton Harbor, Michigan, licensed in MI, with an NPI issued in June 2008. Part D covered 74 prescriptions written in 2024, 100% of them generic. Ultradent Products Inc reported $518.47 in payments in 2025, mostly gifts.

Overview

NPI1811156748
StatusActive
Entity typeIndividual
CredentialDDS
Sole proprietorNo
NPI issuedJun 5, 2008
Last updated in NPPESSep 14, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X2901019815MI

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
Opt-outOpted out Aug 26, 2025 – Aug 26, 2027
Can order and referNo

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Part D prescriptions in 2024

Prescriptions (claims)74 · 75 30-day fills
Patients49
Total drug cost$265.33
Generic share100% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$518.47 · 3 payments from 1 company
  • 2024$371.45 · 3 payments from 1 company

Top paying companies in 2025

CompanyAmountPayments
Ultradent Products Inc$518.473

What the 2025 payments were for

  • Gift$518.47 · 3 payments

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

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