SREENIVAS KOKA D.D.S.
NPI 1699753319
Dentist - Prosthodontics in Leland, MS

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223P0700X and a focus in Prosthodontics.

Active since January 03, 2006PECOS Enrolled

201 BAKER BLVD, LELAND, MS 38756(662) 686-4121(662) 686-4770 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Sreenivas Koka D.d.s. NPPES

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

SREENIVAS KOKA D.D.S. (NPI 1699753319) is an individual prosthodontics provider in Leland, Mississippi, licensed in California (63470) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1699753319

Entity TypeIndividualMale

Primary Taxonomy1223P0700X

Provider Legal NameSREENIVAS KOKACredential: D.D.S.

Location Address201 BAKER BLVDLeland, MS 38756-3401

Mailing Address201 Baker BlvdLeland, MS 38756-3401 · (662) 686-4121 · Fax (662) 686-4770

Phone(662) 686-4121

Fax(662) 686-4770

Sole ProprietorNo

Enumeration DateJanuary 3, 2006

Last NPPES UpdateNovember 5, 2024

NPPES CertifiedNovember 5, 2024

✔ NPI 1699753319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers

Taxonomy Code1223P0700X

License✔ Licensed in CA · 63470

Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

201 BAKER BLVD, Leland, MS 38756

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Secondary Practice Location 1

Location 18031 Linda Vista Rd, Suite 210San Diego, CA 92111-5110 · Phone (858) 268-5020

Other Identifiers 3

Medicaid587433500MN

Medicaid33828500WI

OtherP00918769MN · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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)

Sreenivas Koka D.d.s. 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 38756 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

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.

DELTA HEALTH ALLIANCE

Clinic/Center