PALLAVI BORADE D.D.S.
NPI 1710361571
Dentist - General Practice in Abilene, TX

NPI Status: Active since July 11, 2015

Contact Information

1365 BARROW ST
ABILENE, TX
ZIP 79605
Phone: (325) 480-4248

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Dentist
General Practice
Accepts Insurance
PECOS Enrolled

About PALLAVI BORADE

This page provides the complete NPI Profile along with additional information for Pallavi Borade, a provider established in Abilene, Texas with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1710361571 assigned on July 2015. The practitioner's primary taxonomy code is 1223G0001X with license number 31309 (TX). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI: 1710361571
Provider Name: PALLAVI BORADE D.D.S.
Gender: Female
Entity Type: Individual
Location Address: 1365 BARROW ST ABILENE, TX 79605
Location Phone: (325) 480-4248
Mailing Address: 1365 BARROW ST ABILENE, TX 79605
Mailing Phone: (325) 480-4248
Is Sole Proprietor?: No
Enumeration Date: 07-11-2015
Last Update Date: 08-06-2020
Code Navigator

A dentist like Pallavi Borade is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Dentist General Practice
Taxonomy Code: 1223G0001X
Type: Dental Providers
License No.: 31309
License State: TX
Taxonomy Description: 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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	122300000X	Dental Providers	Dentist	31309 (TX)
2	390200000X	Student, Health Care	Student in an Organized Health Care Education/Training Program

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Aetna CVS Health

Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
Gold 3 Advanced: Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO

Antidote Health Plan of Arizona, Inc.

Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Bronze Standard - HMO
Catastrophic Standard - HMO
Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Gold Standard - HMO
Silver Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Silver Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Silver Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Silver Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Silver Standard - HMO

Antidote Health Plan of Ohio, Inc.

Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Bronze Standard - HMO
Catastrophic Standard - HMO
Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Gold Standard - HMO
Silver Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Silver Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Silver Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Silver Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Silver Standard - HMO

Blue Cross and Blue Shield of Illinois

BlueCare Dental 4 Kids? 1A - PPO
BlueCare Dental 4 Kids? 1B - PPO
BlueCare Dental? 1A - PPO
BlueCare Dental? 1B - PPO
BlueCare Dental? 1C - PPO
BlueCare Dental? 1D - PPO

Blue Cross and Blue Shield of Montana

BlueCare Dental 4 Kids? 1A - PPO
BlueCare Dental 4 Kids? 1B - PPO
BlueCare Dental? 1A - PPO
BlueCare Dental? 1B - PPO
BlueCare Dental? 1C - PPO
BlueCare Dental? 1D - PPO

Blue Cross and Blue Shield of Oklahoma

BlueCare Dental 4 Kids? 1A - PPO
BlueCare Dental 4 Kids? 1B - PPO
BlueCare Dental? 1A - PPO
BlueCare Dental? 1B - PPO
BlueCare Dental? 1C - PPO
BlueCare Dental? 1D - PPO

Blue Cross and Blue Shield of Texas

BlueCare Dental 1D - PPO
BlueCare Dental 4 Kids? 1A - PPO
BlueCare Dental 4 Kids? 1B - PPO
BlueCare Dental? 1A - PPO
BlueCare Dental? 1B - PPO
BlueCare Dental? 1C - PPO

Delta Dental PPO

Delta Dental Individual and Family DPO Basic Plan for Families - PPO
Delta Dental Individual and Family DPO Preferred Plan for Families - PPO
Delta Dental Individual and Family DPO Preventive Plan for Families - PPO

Humana

Humana Dental Smart Choice - PPO
Humana Dental Smart Choice - High - PPO
Humana Dental Smart Choice - Lite - PPO
Humana Dental Smart Choice - Low - PPO
Humana Dental Smart Choice Basic - PPO
Humana Dental Smart Choice- Lite - PPO

Paramount

Paramount Dental Essential Plus Plan - EPO
Paramount Dental Preventive Family Plan - EPO
Paramount Dental Total Care Plan - EPO

Paramount Dental

HRI Essential Plus Plan - HMO
HRI Essential Plus Plan - PPO
HRI Preventive Family Plan - HMO
HRI Preventive Family Plan - PPO
HRI Total Care Plan - HMO
HRI Total Care Plan - PPO

Renaissance Dental

Alabama Preferred Plan - PPO
Alabama Preferred Plan (Pediatric Only) - PPO
Alabama Preferred Plus Plan - PPO
Alabama Preferred Plus Plan (Pediatric Only) - PPO
Alabama Wellness Essentials Plan - PPO
Florida Preferred Plan - PPO
Florida Preferred Plan (Pediatric Only) - PPO
Florida Preferred Plus Plan - PPO
Florida Preferred Plus Plan (Pediatric Only) - PPO
Florida Wellness Essentials Plan - PPO
High PPO Dental Plan - PPO
High PPO Dental Plan (Pediatric Only) - PPO
Kansas Preferred Plan - PPO
Kansas Preferred Plan (Pediatric Only) - PPO
Kansas Wellness Essentials Plan - PPO
Low PPO Dental Plan - PPO
Low PPO Dental Plan (Pediatric Only) - PPO
Mississippi Preferred Plan - PPO
Mississippi Preferred Plan (Pediatric Only) - PPO
Mississippi Wellness Essentials Plan - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Pallavi Borade is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 79605 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

Average New Patient Price $84.92
Minimum New Patient Price $54.84
Maximum New Patient Price $166.88

Average New Patient Copayment $21.23
Minimum New Patient Copayment $13.71
Maximum New Patient Copayment $41.72

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

Average Established Patient Price $68.55
Minimum Established Patient Price $17.52
Maximum Established Patient Price $136.11

Average Established Patient Copayment $17.13
Minimum Established Patient Copayment $4.38
Maximum Established Patient Copayment $34.02

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	7	1	0	3	6	1	5	7	1
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	2	0	6	6	2	5	14
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 6 + 6 + 2 + 5 + 1 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 1									1

The NPI number 1710361571 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.