Clint Tyler Shelley, DDS
NPI 1922257021ActiveIndividual· Dentist, Oral and Maxillofacial Surgery· Fort Bragg, NC
Dentist, Oral and Maxillofacial Surgery (DDS) in Fort Bragg, North Carolina, licensed in UT, with an NPI issued in September 2008. Part D covered 442 prescriptions written in 2024, 100% of them generic. Carestream Dental, LLC reported $15.99 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1922257021 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Sep 12, 2008 |
| Last updated in NPPES | May 18, 2021 |
| Certified by provider | May 18, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | 7066379-9921 | UT |
| Dentist, General Practice | 1223G0001X | 7066379-9921 | UT |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 442 · 442 30-day fills |
|---|---|
| Patients | 162 |
| Total drug cost | $1,734 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2024$15.99 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Carestream Dental, LLC | $15.99 | 1 |
What the 2024 payments were for
- Food and Beverage$15.99 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All Dentist, Oral and Maxillofacial Surgery providers in North Carolina →