DR. SAMANTHA L MAHONEY DDS
NPI 1316506280
Dentist - General Practice in Clinton, MO

Active since June 13, 2019PECOS Enrolled
1800 COMMUNITY, CLINTON, MO 64735(844) 853-8937 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2021, Jun 13, 2019 (2 updates tracked since 2019).

About Dr. Samantha L Mahoney Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMANTHA L MAHONEY DDS (NPI 1316506280) is an individual general practice provider in Clinton, Missouri, licensed in Missouri (2019020712) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1316506280
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SAMANTHA L MAHONEYCredential: DDS
Location Address1800 COMMUNITYClinton, MO 64735-8804
Mailing Address2597 S Broadway StPittsburg, KS 66762-6396 · (620) 231-6400
Sole ProprietorNo
Enumeration DateJune 13, 2019
Last NPPES UpdateMarch 23, 20222 updates tracked since enumeration
NPPES CertifiedMarch 23, 2022
NPI 1316506280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in MO · 2019020712 Licensed in KS · 61612
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1800 COMMUNITY, Clinton, MO 64735

Other Names 1

Former Name (1)Samantha Thomas

Secondary Practice Locations 3

Location 1806 E Maple StColumbus, KS 66725-1924 · Phone (620) 429-1020
Location 22597 S Broadway StPittsburg, KS 66762-6396 · Phone (620) 231-6400
Location 32000 N Gaines DrClinton, MO 64735-1132 · Phone (844) 853-8937

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Samantha L Mahoney Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64735 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
1800 COMMUNITY
CLINTON, MO 64735
Counselor (Mental Health)
1800 COMMUNITY
CLINTON, MO 64735
Registered Nurse
1800 COMMUNITY
CLINTON, MO 64735
Clinic/Center (Rehabilitation, Substance Use Disorder)
1800 COMMUNITY
CLINTON, MO 64735
Dental Hygienist
1800 COMMUNITY
CLINTON, MO 64735
Social Worker (Clinical)
1800 COMMUNITY
CLINTON, MO 64735
Community/Behavioral Health
1800 COMMUNITY
CLINTON, MO 64735
Nurse Practitioner (Psychiatric/Mental Health)
1800 COMMUNITY
CLINTON, MO 64735

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Mahoney's NPI number?

The NPI number for Samantha Mahoney is 1316506280. It was assigned to this individual provider in the NPPES registry on June 13, 2019. The provider is also known as Samantha Thomas.

Where is Samantha Mahoney located?

Samantha Mahoney practices at 1800 Community, Clinton, MO 64735. The listed phone number is (844) 853-8937.

What is Samantha Mahoney's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Samantha Mahoney enrolled in Medicare?

Yes. Samantha Mahoney is registered in the Medicare PECOS enrollment system.

What insurance does Samantha Mahoney accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 8 other insurers list Samantha Mahoney as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Mahoney was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.