TAVALLAEI, D.M.D., CORPORATION
NPI: 1184780587
· EL DORADO HILLS, CA 95762
· Pediatric Dentist
· NPI assigned 12/29/2006
$488K
Total Medicaid Paid
Provider Details
| Authorized Official | TAVALLAEI, MONICA (PEDIATRIC DENTIST) |
| NPI Enumeration Date | 12/29/2006 |
Related Entities
Other providers sharing the same authorized official: TAVALLAEI, MONICA
| Provider | City | State | Total Paid |
|---|
| TAVALLAEI, D.M.D., CORPORATION |
SACRAMENTO |
CA |
$2.46M |
| TAVALLAEI, D.M.D., CORPORATION |
FOLSOM |
CA |
$2.15M |
| TAVALLAEI, D.M.D., CORPORATION |
ELK GROVE |
CA |
$2.08M |
| TAVALLAEI, D.M.D., CORPORATION |
ROCKLIN |
CA |
$436K |
| TAVALLAEI, D.M.D., CORPORATION |
AUBURN |
CA |
$295K |
| TAVALLAEI DMD CORP |
LINCOLN |
CA |
$167K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
328 |
$9K |
| 2023 |
8,767 |
$218K |
| 2024 |
9,617 |
$261K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
2,402 |
2,402 |
$124K |
| D0120 |
|
1,099 |
1,099 |
$80K |
| D0150 |
|
1,030 |
1,030 |
$69K |
| D2392 |
|
646 |
452 |
$43K |
| D1206 |
|
2,155 |
2,155 |
$43K |
| D0230 |
|
7,668 |
2,315 |
$31K |
| D9230 |
|
786 |
657 |
$31K |
| D2391 |
|
275 |
209 |
$15K |
| D0274 |
|
544 |
544 |
$12K |
| D0272 |
|
963 |
963 |
$11K |
| D0145 |
|
130 |
130 |
$10K |
| D0220 |
|
619 |
590 |
$7K |
| D1351 |
|
126 |
77 |
$5K |
| D0330 |
|
120 |
120 |
$4K |
| D7140 |
|
57 |
44 |
$3K |
| D1352 |
|
25 |
17 |
$962.50 |
| D0350 |
|
55 |
45 |
$528.00 |
| D9430 |
|
12 |
12 |
$384.00 |