Kelly Clark, DDS
NPI 1942379458ActiveIndividual· Dentist, General Practice· Decatur, IL
Dentist, General Practice (DDS) in Decatur, Illinois, licensed in IL, with an NPI issued in November 2006. Part D covered 472 prescriptions written in 2024, 99% of them generic. American Medical & Dental Supplies,inc. was the largest of 3 companies reporting payments in 2025, $4,828 in all, mostly gifts.
Overview
| NPI | 1942379458 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Nov 7, 2006 |
| Last updated in NPPES | Jun 15, 2026 |
| Certified by provider | Jun 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 019026315 | IL |
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) | Enrolled Order and Referring Only - Oral Surgery (IL) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 472 · 479 30-day fills |
|---|---|
| Patients | 232 |
| Total drug cost | $1,484 |
| Generic share | 99% of claims |
Industry payments (Open Payments)
- 2025$4,828 · 35 payments from 3 companies
- 2024$6,008 · 44 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| American Medical & Dental Supplies,inc. | $4,725 | 33 |
| Patterson Companies, Inc. | $85.81 | 1 |
| Dentsply Sirona Inc | $17.66 | 1 |
What the 2025 payments were for
- Gift$4,725 · 33 payments
- Food and Beverage$103.47 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 32 general dentists in Decatur · All general dentists in Illinois