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SONORAN VISTA DENTISTRY

Dentist, General Practice · 1757 E BASELINE RD, GILBERT, AZ, 85233 ·480-545-0661
NPI 1598131146 1 network on file 7 CDT codes MRF data on file
1
Payer networks with rates on file
7
Unique CDT codes with contracted rates
Contracted Rates by Network

Source: CMS Transparency in Coverage MRF data. First 3 codes per network shown. Full rate table available with Pro access.

Aetna 7 codes on file
CDT CodeProcedureContracted Rate
D0150 Comprehensive Oral Eval $48.00
D0230 D0230 $6.00
D0274 Bitewing X-rays (4 images) $39.00
D2332 D2332 $0,000
D2394 D2394 $0,000
D4342 Scaling & Root Planing — 1-3 Teeth $0,000
D4910 Periodontal Maintenance $0,000
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Rate data sourced from machine-readable files (MRFs) as required under the CMS Transparency in Coverage final rule (45 CFR §147.211). Reflects contracted rates as reported by the payer. DSO affiliation detected via NPPES organization name matching. PayorMap is not affiliated with any insurer, DSO, or dental provider.

Data Coverage CMS MRF · Updated April 2026
Aetna ✓ On file
Highmark No data
UnitedHealthcare No data
Cigna, Delta Dental, Humana, and MetLife coming soon.