Dental
Tavallaei DMD Corp
Tavallaei DMD Corp was paid $167K by Medicaid between Dec 2022 and Nov 2024, across 11 billing codes. Its largest line is D1120, dental cleaning, child — 31% of everything it billed.
33Billing provider infoTAVALLAEI DMD CORP
LINCOLN, CA 95648
LINCOLN, CA 95648
33aNPI1417399502assigned 07/18/2013
33bProvider typePediatric Dentist
28Total paid$167K
24GClaims7,238
24DCodes billed11
24AFirst – last monthDec 2022 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in California
Rank by total paid#216 of 332
Median peer was paid$450K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2022 | 217 | $7K | |
| 2023 | 3,017 | $65K | |
| 2024incomplete | 4,004 | $95K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 31% | 1,015 | 1,015 | $52K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 443 | 443 | $34K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 291 | 291 | $19K |
| D1206 | Topical application of fluoride varnish | 10% | 918 | 918 | $17K |
| D0230 | Intraoral - periapical each additional radiographic image | 9.0% | 3,661 | 1,021 | $15K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 8.0% | 335 | 302 | $13K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.8% | 148 | 107 | $10K |
| D0274 | Bitewings - four radiographic images | 2.1% | 168 | 168 | $4K |
| D0272 | Bitewings - two radiographic images | 1.3% | 183 | 183 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 17 | 12 | $928.20 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 59 | 59 | $694.00 |
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.
From NPPES
Who's on the registration
Authorized officialTAVALLAEI, MONICA (OWNER)
| Provider | Location | 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 | El Dorado Hills, CA | $488K |
| Tavallaei, D.M.D., Corporation | Rocklin, CA | $436K |
| Tavallaei, D.M.D., Corporation | Auburn, CA | $295K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.