NPI: 1154918944 · GRANITE BAY, CA 95746 · Dentist · NPI assigned 12/28/2020
Authorized official CASTILLO, MEGAN controls 20+ related entities in our dataset. Read more
| Authorized Official | CASTILLO, MEGAN (OPERATIONS MANAGER) |
| NPI Enumeration Date | 12/28/2020 |
Other providers sharing the same authorized official: CASTILLO, MEGAN
| Provider | City | State | Total 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 |
| TAVALLAEI DMD CORP | PLACERVILLE | CA | $39K |
| 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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 358 | $7K |
| 2023 | 925 | $18K |
| 2024 | 1,128 | $26K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 240 | 240 | $16K |
| D0350 | 1,446 | 428 | $14K | |
| D0210 | Intraoral - complete series of radiographic images | 207 | 207 | $10K |
| D1320 | 242 | 241 | $4K | |
| D1110 | Prophylaxis - adult | 27 | 27 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 44 | 27 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16 | 13 | $1K |
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $925.00 |
| D1206 | Topical application of fluoride varnish | 41 | 41 | $726.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 122 | 30 | $556.89 |
| D0274 | Bitewings - four radiographic images | 14 | 14 | $297.00 |