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Sujata S Gawande, DDS

General Practice · San Jose

NPI 1538681325

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
1
1 carrier
Office
1

Offices

1 location

Plans that list them

1 plan · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Gawande’s office at (669) 400-5000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
AARP Medicare Advantage from UHC CA-10 (HMO-POS)UnitedHealthcareListed, may be out of dateJun 10, 2026

Medicaid work

$849,599 in 2024

Medicaid paid $849,599 for 2,572 billed services this clinician did in 2024, up to 212 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Service2,572$849,599
Medicaid work by year
20242,5721212$849,599
20232,8731200$912,585
20222,0801191$644,638
20212,0721202$633,567
20207101234$159,832
20193,1321268$647,435
20182,0004224$345,976
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Service2,873$912,585

2022

Largest Medicaid services in 2022
Service2,080$644,638

2021

Largest Medicaid services in 2021
Service2,072$633,567

2020

Largest Medicaid services in 2020
Service710$159,832

2019

Largest Medicaid services in 2019
Service3,132$647,435

2018

Largest Medicaid services in 2018
Service1,953$345,266
Service16$450
Service15$140
Service16$120

Drugs they prescribed that Part D paid

$182

Pharmacies billed $182 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their Part D prescriptions (0 of 75) in 2024. At or below the middle of the specialty; the typical dentist clinician is at 0%.

75 generic and 0 brand-name prescriptions · $182 in drug cost · 40 antibiotic prescriptions to 30 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Amoxicillin36$63$2
Chlorhexidine Gluconate11$41$4
Ibuprofen24$40$2

Year by year

Part D prescribing by year
202475370% (0)0%$182
202376410% (0)0%$365
202256320% (0)0%$248
202153290% (0)0%$189
202035220% (0)None$153
201922150% (0)0%$98
201813None0% (0)0%$43

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 3 drugs

Part D drugs prescribed in 2023
Amoxicillin39$136$3
Chlorhexidine Gluconate14$93$7
Ibuprofen18$50$3

2022: 2 drugs

Part D drugs prescribed in 2022
Amoxicillin26$130$5
Ibuprofen15$44$3

2021: 2 drugs

Part D drugs prescribed in 2021
Amoxicillin30$122$4
Ibuprofen17$33$2

2020: 2 drugs

Part D drugs prescribed in 2020
Amoxicillin19$105$6
Ibuprofen13$34$3

2019: 1 drug

Part D drugs prescribed in 2019
Amoxicillin13$61$5

Money from drug and device companies

$23 in 2021

Industry payments by year
202111None$23
201912None$118

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Align TechnologyInvisalign$23
1 payment
  • Meals for Invisalign · 2021-11-10 · $23
See the published payment
Every published payment
Align TechnologyMeals · 2021-11-10Invisalign$23
See earlier years (2019)

2019: $118

Payments by company in 2019
Straumann USANone$118
2 payments
  • Meals · 2019-06-27 · $68
  • Education · 2019-06-27 · $50

Professional record

NPI
1538681325
Licence
CA 101555
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 1223G0001X (1223G0001X)
Mailing address
1835 Baylor St, Union City, CA, 94587
NPI first listed
2017-07-12
NPI last updated
2018-06-13

This is when the NPI record was last certified, not a medical board exam.