Doctor profile · Federal record
Dr. Theresa Gonzales, DMD, MS
Oral and Maxillofacial Pathology Dentist · Oral and Maxillofacial Pathology Dentist · Charleston, SC
- NPI 1912969502
- 20 yrs on file
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
173 Ashley Avenue MSC 507
Charleston, SC 29401
(843) 792-8723
fax (843) 792-3697 - Mailing address
-
Po Box 751461
Charlotte, NC 282751461
Credentials & registration
- NPI registered
- April 2006 — 20 yrs on file
- Profile last updated
- August 31, 2016
- Specialty taxonomy
- 1223P0106X — NUCC code
- State licenses (2)
- South Carolina #2648 · Texas #17566
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1912969502. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
16
Distinct HCPCS
1
Medicare allowed
$2,504
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99204 |
New patient office or other outpatient visit, 45-59 minutes | 16 | 16 | $157 |
In context: peer comparison
Among 2 peers in Charleston Oral and Maxillofacial Pathology Dentist, average services per provider: 60. This provider delivers 0.3× the peer median.Open Payments
Industry payments received
All-time total
$67
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Theratechnologies INC. | 1 | $45.75 | |
| Merck Sharp & Dohme LLC | 1 | $21.35 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
43
Patients
17
Total drug cost
$210
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Meloxicam | Generic | 31 | 17 | $117 |
| Cyclobenzaprine Hcl | Generic | 12 | 0 | $93 |
Frequently asked questions
What is Dr. Theresa Gonzales's medical specialty?
Dr. Theresa Gonzales practices Oral and Maxillofacial Pathology Dentist in Charleston, SC.
Where does Dr. Theresa Gonzales practice?
Dr. Theresa Gonzales practices at 173 Ashley Avenue MSC 507, Charleston, SC 29401. Office phone: 8437928723.
What is Dr. Theresa Gonzales's NPI?
Dr. Theresa Gonzales's National Provider Identifier (NPI) is 1912969502, issued by NPPES.
What procedures does Dr. Theresa Gonzales commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99204). Source: CMS Medicare Physician & Other Practitioners file.