Kendra Nicole Clark, DMD
NPI 1831738087ActiveIndividual· Dentist, Endodontics· Fort Worth, TX
Dentist, Endodontics (DMD) in Fort Worth, Texas, licensed in TX and MS, with an NPI issued in January 2020. Part D covered 53 prescriptions written in 2024, 100% of them generic. Ultradent Products Inc reported $62.49 in payments in 2024, mostly gifts.
Overview
| NPI | 1831738087 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | No |
| NPI issued | Jan 4, 2020 |
| Last updated in NPPES | Oct 28, 2020 |
| Certified by provider | Oct 28, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | 34365 | TX |
| Dentist | 122300000X | 34365 | TX |
| Dentist | 122300000X | 3992-18 | MS |
| Dentist, Endodontics | 1223E0200X | 3992-18 | MS |
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) | 53 · 53 30-day fills |
|---|---|
| Patients | 33 |
| Total drug cost | $259.86 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2024$62.49 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Ultradent Products Inc | $62.49 | 1 |
What the 2024 payments were for
- Gift$62.49 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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