Dental
Tavallaei, Monica
Tavallaei, Monica was paid $1K by Medicaid between Mar 2023 and Mar 2023, across 2 billing codes. Its largest line is D0230, Intraoral - periapical each additional radiographic image — 71% of everything it billed.
33Billing provider infoTAVALLAEI, MONICA
FOLSOM, CA 95630
FOLSOM, CA 95630
33aNPI1356558159assigned 05/17/2007
33bProvider typePediatric Dentist
28Total paid$1K
24GClaims60
24DCodes billed2
24AFirst – last monthMar 2023 – Mar 2023
Compared with peers
Next to other Pediatric Dentist providers in California
Rank by total paid#313 of 332
Median peer was paid$450K
This provider vs. median0.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 60 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0230 | Intraoral - periapical each additional radiographic image | 71% | 48 | 12 | $960.00 |
| D0220 | Intraoral - periapical first radiographic image | 29% | 12 | 12 | $384.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.