Clinic
Prasad Gonavarum D.D.S., Professional Corporation
Prasad Gonavarum D.D.S., Professional Corporation was paid $173K by Medicaid between Mar 2021 and Nov 2024, across 16 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 24% of everything it billed.
33Billing provider infoPRASAD GONAVARUM D.D.S., PROFESSIONAL CORPORATION
LA MESA, CA 91942
LA MESA, CA 91942
33aNPI1124689302assigned 06/27/2019
33bProvider typeDental Clinic/Center
28Total paid$173K
24GClaims4,004
24DCodes billed16
24AFirst – last monthMar 2021 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#593 of 1,135
Median peer was paid$200K
This provider vs. median0.9×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 342 | $13K | |
| 2022 | 676 | $25K | |
| 2023 | 1,156 | $48K | |
| 2024incomplete | 1,830 | $88K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 24% | 627 | 626 | $41K |
| D0210 | Intraoral - complete series of radiographic images | 15% | 552 | 551 | $26K |
| D9430 | 14% | 783 | 717 | $25K | |
| D1110 | Prophylaxis - adult | 13% | 254 | 254 | $22K |
| D2394 | 8.6% | 180 | 87 | $15K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 5.8% | 88 | 52 | $10K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.9% | 126 | 69 | $8K |
| D2751 | Crown - porcelain fused to predominantly base metal | 3.6% | 13 | 12 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.4% | 52 | 29 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 2.4% | 275 | 275 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 264 | 250 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.6% | 672 | 418 | $3K |
4 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialGONAVARUM, PRASAD (PRESIDENT/OWNER)