Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TAVALLAEI, D.M.D., CORPORATION

NPI: 1386159879 · SAN RAMON, CA 94583 · Pediatric Dentist · NPI assigned 12/06/2017

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

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

$155K
Total Medicaid Paid
6,578
Total Claims
4,290
Beneficiaries
12
Codes Billed
2023-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCASTILLO, MEGAN (OPERATIONS MANAGER)
NPI Enumeration Date12/06/2017

Related Entities

Other providers sharing the same authorized official: CASTILLO, MEGAN

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 3,099 $69K
2024 3,479 $86K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 918 918 $47K
D0120 Periodic oral evaluation - established patient 417 417 $30K
D0150 Comprehensive oral evaluation - new or established patient 378 378 $25K
D1206 Topical application of fluoride varnish 872 872 $16K
D0230 Intraoral - periapical each additional radiographic image 3,069 810 $12K
D0274 Bitewings - four radiographic images 309 309 $7K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 128 118 $5K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 57 40 $4K
D9430 111 110 $4K
D0272 Bitewings - two radiographic images 230 230 $3K
D0330 Panoramic radiographic image 76 76 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent 13 12 $709.80