TAVALLAEI, D.M.D., CORPORATION

NPI: 1194107748 · SACRAMENTO, CA 95822 · Pediatric Dentist · NPI assigned 06/19/2015

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$11K

Total Medicaid Paid

390

Total Claims

284

Beneficiaries

Codes Billed

2024-04

First Month

2024-10

Last Month

Provider Details

Authorized Official	CASTILLO, MEGAN (OPERATIONS MANAGER)
NPI Enumeration Date	06/19/2015

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
S. JANG DDS INCORPORATED	GRANITE BAY	CA	$51K
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	GRANITE BAY	CA	$7K

Year	Claims	Total Paid
2024	390	$11K

Code	Description	Claims	Beneficiaries	Total Paid
D9310		81	81	$4K
D0230	Intraoral - periapical each additional radiographic image	188	89	$2K
D0150	Comprehensive oral evaluation - new or established patient	27	27	$2K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	25	19	$1K
D1120	Prophylaxis - child	13	13	$682.50
D0220	Intraoral - periapical first radiographic image	43	42	$668.00
D1206	Topical application of fluoride varnish	13	13	$269.50