Shannon Carol Clark, DDS
NPI 1922273481ActiveIndividual· Dentist· Joplin, MO
Dentist (DDS) in Joplin, Missouri, licensed in MO, KS and AR, with an NPI issued in April 2008. Part D covered 134 prescriptions written in 2024, 99% of them generic. Medline Industries LP reported $14.70 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1922273481 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Apr 25, 2008 |
| Last updated in NPPES | Mar 18, 2026 |
| Certified by provider | Mar 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 2020005163 | MO |
| Dentist | 122300000X | 62065 | KS |
| Dentist | 122300000X | 3142 | AR |
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) | 134 · 134 30-day fills |
|---|---|
| Patients | 90 |
| Total drug cost | $458.67 |
| Generic share | 99% of claims |
Industry payments (Open Payments)
- 2024$14.70 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Medline Industries LP | $14.70 | 1 |
What the 2024 payments were for
- Food and Beverage$14.70 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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