1. Home
  2. Directory
  3. Michigan
  4. Burton
  5. Dentist
  6. NPI Profile

PRABHA R RAJU D.D.S.
NPI 1710150925
Dentist - General Practice in Burton, MI

Active since April 09, 2008PECOS Enrolled
1024 N GENESEE RD, BURTON, MI 48509(810) 715-3368(810) 715-1663 Get Directions Write a Review

NPPES record last updated: April 9, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Prabha R Raju D.d.s. NPPES

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

PRABHA R RAJU D.D.S. (NPI 1710150925) is an individual general practice provider in Burton, Michigan, licensed in Michigan (15924) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1710150925
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NamePRABHA R RAJUCredential: D.D.S.
Location Address1024 N GENESEE RDBurton, MI 48509-1433
Mailing Address1024 N Genesee Rd, P O Box 90161Burton, MI 48509-1433 · (810) 715-3368 · Fax (810) 715-1663
Phone(810) 715-3368
Fax(810) 715-1663
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateApril 9, 2008
✔ NPI 1710150925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 15924
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.
1024 N GENESEE RD, Burton, MI 48509
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prabha R Raju D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092075481
PECOS Enrollment IDI20180208001912
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.

Medicare Billing Reassignment

Medicare enrollment records show Prabha Raju reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tender Dental Care PC
Same address
General Practice
1024 N GENESEE
Burton, MI 48509
  • Reassigned Medicare billing, Michigan enrollment
NPI 1073689899 (810) 715-3368

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48509 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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

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

TENDER DENTAL CARE
Dentist
1024 N GENESEE RD
BURTON, MI 48509
Genesee County (810) 715-3368

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 Prabha Raju's NPI number?

The NPI number for Prabha Raju is 1710150925. It was assigned to this individual provider in the NPPES registry on April 9, 2008.

Where is Prabha Raju located?

Prabha Raju practices at 1024 N Genesee Rd, Burton, MI 48509. The listed phone number is (810) 715-3368.

What is Prabha Raju's specialty?

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

Is Prabha Raju enrolled in Medicare?

Yes. Prabha Raju is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Prabha Raju's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prabha Raju reassigns Medicare benefits to Tender Dental Care PC (Burton, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Prabha Raju's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prabha Raju accept?

Health plans from BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Prabha Raju 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 Prabha Raju was last updated on April 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.