Tavallaei, D.M.D., Corporation
Tavallaei, D.M.D., Corporation was paid $155K by Medicaid between Jan 2023 and Nov 2024, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.
SAN RAMON, CA 94583
Next to other Pediatric Dentist providers in California
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 3,099 | $69K | |
| 2024incomplete | 3,479 | $86K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 30% | 918 | 918 | $47K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 417 | 417 | $30K |
| D0150 | Comprehensive oral evaluation - new or established patient | 16% | 378 | 378 | $25K |
| D1206 | Topical application of fluoride varnish | 10% | 872 | 872 | $16K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.9% | 3,069 | 810 | $12K |
| D0274 | Bitewings - four radiographic images | 4.2% | 309 | 309 | $7K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.3% | 128 | 118 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.4% | 57 | 40 | $4K |
| D9430 | 2.3% | 111 | 110 | $4K | |
| D0272 | Bitewings - two radiographic images | 1.8% | 230 | 230 | $3K |
| D0330 | Panoramic radiographic image | 1.5% | 76 | 76 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 13 | 12 | $709.80 |
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.
Who's on the registration
| Provider | Location | 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 |
| 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 | Sacramento, CA | $11K |
| Tavallaei, D.M.D., Corporation | Granite Bay, CA | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.