PRASAD B GONAVARUM (D.D.S.) – General Practice Dentistry, NPI 1174512339
General Practice Dentistry
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for PRASAD B GONAVARUM (D.D.S.)
2413, South State Street, Near South Side, Chicago, Cook County, Illinois, 60616, United States
IDEAL DENTAL CENTER
CHICAGO, IL 606162311
Phone: (312) 528-1800
Fax: (312) 528-1881
Type: Location
7439, Pipers Way, Downers Grove, DuPage County, Illinois, 60516, United States
APT # 2
DOWNERS GROVE, IL 605164050
Phone: (630) 271-1687
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $600.
Total Amount is formed as General ($600) + Research ($0) + Ownership ($0) = $600.
Last reported payment date: 2024-06-05 • Largest payer in this snapshot: Premier Dental Products Company ($528).
Total Amount
$600
General + Research + Ownership
Payments
5
Total payment records
General Amount
$600
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-05
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60616)
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