Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TAVALLAEI DMD CORP

NPI: 1013623586 · PLACERVILLE, CA 95667 · Dentist · NPI assigned 01/26/2023

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CASTILLO, MEGAN controls 20+ related entities in our dataset. Read more

$39K
Total Medicaid Paid
1,703
Total Claims
1,110
Beneficiaries
8
Codes Billed
2023-10
First Month
2024-10
Last Month

Provider Details

Authorized OfficialCASTILLO, MEGAN (BUSINESS MANAGER)
NPI Enumeration Date01/26/2023

Related Entities

Other providers sharing the same authorized official: CASTILLO, MEGAN

ProviderCityStateTotal Paid
TAVALLAEI DMD CORP CITRUS HEIGHTS CA $4.20M
S.Y.Y JANG DDS CORP ELK GROVE CA $3.08M
S.Y.Y JANG DDS CORP CITRUS HEIGHTS CA $2.84M
S.Y.Y JANG DDS CORP SACRAMENTO CA $1.46M
S. JANG DDS INCORPORATED CITRUS HEIGHTS CA $1.44M
TAVALLAEI, D.M.D., CORPORATION CITRUS HEIGHTS CA $1.04M
S.Y.Y JANG DDS CORP SACRAMENTO CA $912K
S. JANG DDS INCORPORATED SAN RAMON CA $558K
S. JANG DDS INCORPORATED FOLSOM CA $483K
S. JANG DDS INCORPORATED AUBURN CA $185K
TAVALLAEI, D.M.D., CORPORATION SAN RAMON CA $155K
S. JANG DDS INCORPORATED GRANITE BAY CA $51K
S.Y.Y. JANG DDS CORP CITRUS HEIGHTS CA $37K
S. JANG DDS INCORPORATED FAIRFIELD CA $34K
TAVALLAEI, D.M.D., CORPORATION FAIRFIELD CA $31K
S JANG DDS INCORPORATED CITRUS HEIGHTS CA $26K
S. JANG DDS INCORPORATED FOLSOM CA $12K
S JANG DDS INCORPORATED PLACERVILLE CA $11K
TAVALLAEI, D.M.D., CORPORATION SACRAMENTO CA $11K
TAVALLAEI, D.M.D., CORPORATION GRANITE BAY CA $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 233 $5K
2024 1,470 $34K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 290 290 $15K
D0150 Comprehensive oral evaluation - new or established patient 103 103 $7K
D0120 Periodic oral evaluation - established patient 75 75 $6K
D1206 Topical application of fluoride varnish 246 246 $5K
D0230 Intraoral - periapical each additional radiographic image 849 264 $3K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 32 24 $1K
D0272 Bitewings - two radiographic images 95 95 $1K
D0274 Bitewings - four radiographic images 13 13 $280.80