DR. DHAWAL A. GORADIA M.D.
Accepted Insurance for NPI 1992742621
Radiology - Diagnostic Radiology in Seattle, WA

NPI Status: Active since June 01, 2006

Contact Information

325 9TH AVE
SEATTLE, WA
ZIP 98104
Phone: (206) 520-5000

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with DR. DHAWAL A. GORADIA M.D., a practicing radiology professional in Seattle, WA. Compiled from official data resources, this interface is designed to help you determine if your policy is accepted at this practice location. Currently, the provider is listed across 122 individual coverage options managed by medical networks, including networks like CareSource, Imperial Health Plan of the Southwest, Inc., and Moda Health Plan, Inc.. Please use the filtering dashboard below to search for your specific plan by name, narrow results by a single carrier corporate network, or toggle between plan types (HMO, PPO, EPO) to check your status before coordinating an upcoming clinic visit.

Fitler by Network Type

CareSource

Bronze 7500 $25 Generic Drugs
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010015
Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020015
Diabetes Gold 3000 $0 Chronic Care Drugs & Services
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010026
Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020026
Diabetes Silver 5000 $0 Chronic Care Drugs & Services
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010025
Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020025
Gold 2000 $15 Generic Drugs
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010012
Gold 2000 $15 Generic Drugs + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020012
HDHP Preventive Silver 5500 $0 Chronic Care Drugs
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010033
Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010030
Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020030
Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010032
Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020032
HSA Eligible Bronze 6000
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010010
Low Premium Bronze 10600 $25 Generic Drugs
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010020
Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020020
Low Premium Silver 6200 $3 Generic Drugs
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010011
Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020011
Platinum Zero $5 Generic Drugs
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010029
Platinum Zero $5 Generic Drugs + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020029
Silver 6000 $20 Generic Drugs
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010014
Silver 6000 $20 Generic Drugs + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020014

Imperial Health Plan of the Southwest, Inc.

Imperial Preferred Gold
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

98113UT0020002
Imperial Preferred Silver
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

98113UT0020001
Imperial Standard Bronze
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARD Tier

Accepted Plan ID Variations

98113UT0010001
Imperial Standard Gold
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARD Tier

Accepted Plan ID Variations

98113UT0010003
Imperial Standard Silver
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARD Tier

Accepted Plan ID Variations

98113UT0010002

Moda Health Plan, Inc.

Moda Health Affinity Bronze 8000
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

39424OR1680005
Moda Health Affinity Bronze 9000
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

39424OR1660002
Moda Health Affinity Bronze HDHP 7500
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

39424OR1680007
Moda Health Affinity Gold 1000
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

39424OR1700001
Moda Health Affinity Gold 1500
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

39424OR1680008
Moda Health Affinity Gold 250
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

39424OR1690001
Moda Health Affinity Silver 3000
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

39424OR1690003
Moda Health Affinity Silver 3400
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

39424OR1680002
Moda Health Affinity Silver 4500
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

39424OR1680004
Moda Health Affinity Silver 6000
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

39424OR1660001
Moda Health Oregon Standard Bronze Affinity
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

39424OR1670003
Moda Health Oregon Standard Gold Affinity
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

39424OR1670001
Moda Health Oregon Standard Silver Affinity
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

39424OR1670002
Moda Select Alaska Bronze 6500
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73836AK0930003
Moda Select Alaska Bronze HDHP 5500
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73836AK0970002
Moda Select Alaska Gold 1500
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73836AK0930001
Moda Select Alaska Silver 4500
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73836AK0930002
Moda Select Alaska Standard Bronze
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73836AK0960001
Moda Select Alaska Standard Gold
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73836AK0940001
Moda Select Alaska Standard Silver
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73836AK0950001
Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

17933TX0010006
Moda Select Texas Bronze HDHP 7500
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

17933TX0010007
Moda Select Texas Standard Bronze
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

17933TX0010010
Moda Select Texas Standard Gold
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

17933TX0010009
Moda Select Texas Standard Silver
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

17933TX0010008

Oscar Health Maintenance Organization of Florida

Bronze Classic 4700
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0020002
Bronze Classic 4700 | with AdventHealth
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010004
Bronze Classic Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001000121525FL0020001
Bronze Classic Standard | with AdventHealth
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010002
Bronze Elite + PCP Saver Plus
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0020003
Bronze Elite + PCP Saver Plus | with AdventHealth
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010005
Bronze Simple Breathe Easy with Enhanced COPD Benefits
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001000621525FL0020004
Bronze Simple Chronic Care CKM
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001000721525FL0020005
Bronze Simple Diabetes
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001000821525FL0020006
Gold Classic Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001001921525FL0020015
Gold Classic Standard | with AdventHealth
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010020
Gold Elite Saver Plus | with AdventHealth
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010022
Gold Simple
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0020016
Gold Simple | with AdventHealth
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010023
Silver Classic Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001000921525FL0020007
Silver Classic Standard | with AdventHealth
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010010
Silver Elite
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0020008
Silver Elite | with AdventHealth
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010012
Silver Simple Breathe Easy with Enhanced COPD Benefits
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001001321525FL0020009
Silver Simple Chronic Care CKM
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0020010
Silver Simple Chronic Care CKM | with AdventHealth
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010014
Silver Simple Diabetes
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0020011
Silver Simple Diabetes | with AdventHealth
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010015
Silver Simple PCP Saver
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0020012
Silver Simple PCP Saver | with AdventHealth
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010016
Silver Simple Women's Health with Menopause Benefits
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001001721525FL0020013

Oscar Insurance Company

Bronze Classic 4700
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010060
Bronze Classic 4700 | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010024
Bronze Classic Standard
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010065
Bronze Classic Standard | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010050
Bronze Elite + PCP Saver Plus
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010056
Bronze Elite + PCP Saver Plus | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010005
Bronze Simple Breathe Easy with Enhanced COPD Benefits | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010070
Bronze Simple Chronic Care CKM | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010071
Bronze Simple Diabetes | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010072
Gold Classic Standard
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010067
Gold Classic Standard | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010053
Gold Elite
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010063
Gold Elite | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010036
Secure
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010058
Secure | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010011
Silver Classic
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010057
Silver Classic | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010006
Silver Classic Standard
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010066
Silver Classic Standard | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010052
Silver Simple Breathe Easy with Enhanced COPD Benefits | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010076
Silver Simple Chronic Care CKM | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010077
Silver Simple Diabetes
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010064
Silver Simple Diabetes | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010045
Silver Simple PCP Saver
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010061
Silver Simple PCP Saver | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010025
Silver Simple Women's Health with Menopause Benefits | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010078

Premera Blue Cross Blue Shield of Alaska

Premera Blue Cross Alaska One Gold
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1080001
Premera Blue Cross Preferred Bronze 5800 HSA
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1070002
Premera Blue Cross Preferred Bronze 6350
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1060004
Premera Blue Cross Preferred Gold 1500
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1060001
Premera Blue Cross Preferred Silver 4500
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1060002
Premera Blue Cross Standard Bronze II
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1100004
Premera Blue Cross Standard Gold
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1100001
Premera Blue Cross Standard Silver
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1100002
Premera Blue Cross Family Dental
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DENTALSELECT Tier

Accepted Plan ID Variations

38344AK1110001
Premera Blue Cross Pediatric Dental
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DENTALSELECT Tier

Accepted Plan ID Variations

38344AK1120001
No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

This provider accepts health insurance plans managed by the following insurance companies: CareSource, Imperial Health Plan of the Southwest, Inc., Moda Health Plan, Inc., Oscar Health Maintenance Organization of Florida, Oscar Insurance Company, Premera Blue Cross Blue Shield of Alaska. You can filter specific policies or search for unique plans using the open dashboard controls located above.
Yes, registry files confirm this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. Additionally, the provider is officially enrolled in the PECOS program (Provider Enrollment, Chain, and Ownership System), verifying that they are certified to order, refer, or prescribe services to Medicare beneficiaries.
DR. DHAWAL A. GORADIA M.D. is enrolled across the following managed care network types: EPO, HMO, PPO.
  • HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.
  • PPO (Preferred Provider Organization): Provides flexibility to visit out-of-network clinicians without requiring referrals, though seeking care with in-network providers offers lower out-of-pocket costs.
  • EPO (Exclusive Provider Organization): Restricts coverage strictly to network providers except for emergency situations, but generally allows seeking treatment from network specialists without an official referral.