Praveen Kumar Gonuguntla Kamma, DMD
NPI 1104479724ActiveIndividual· Dentist, General Practice· Killeen, TX
Dentist, General Practice (DMD) in Killeen, Texas, licensed in IL and TX, with an NPI issued in July 2019. Part D covered 290 prescriptions written in 2024, 98% of them generic.
Overview
| NPI | 1104479724 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | No |
| NPI issued | Jul 23, 2019 |
| Last updated in NPPES | Nov 17, 2020 |
| Certified by provider | Nov 17, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 019032826 | IL |
| Dentist, General Practice | 1223G0001X | 35519 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 290 · 292 30-day fills |
|---|---|
| Patients | 149 |
| Total drug cost | $937.56 |
| Generic share | 98% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 58 general dentists in Killeen · All general dentists in Texas