Dental
Tavallaei, D.M.D., Corporation
Tavallaei, D.M.D., Corporation was paid $2.15M by Medicaid between Nov 2020 and Dec 2024, across 37 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 33% of everything it billed.
33Billing provider infoTAVALLAEI, D.M.D., CORPORATION
FOLSOM, CA 95630
FOLSOM, CA 95630
33aNPI1538225503assigned 12/28/2006
33bProvider typePediatric Dentist
28Total paid$2.15M
24GClaims28,314
24DCodes billed37
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in California
Rank by total paid#92 of 332
Median peer was paid$450K
This provider vs. median4.8×
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 | |
|---|---|---|---|
| 2020 | 24 | $420.00 | |
| 2021 | 2,606 | $162K | |
| 2022 | 2,036 | $126K | |
| 2023 | 9,964 | $818K | |
| 2024incomplete | 13,684 | $1.04M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 33% | 4,754 | 1,827 | $699K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 15% | 391 | 368 | $321K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.1% | 2,951 | 2,923 | $196K |
| D0330 | Panoramic radiographic image | 8.0% | 3,878 | 3,858 | $172K |
| D7240 | Removal of impacted tooth - completely bony | 5.3% | 467 | 198 | $115K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.8% | 2,246 | 2,133 | $81K |
| D8670 | Periodic orthodontic treatment visit | 3.2% | 437 | 424 | $69K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 2.7% | 229 | 158 | $59K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.7% | 342 | 65 | $58K |
| D7140 | Extraction, erupted tooth or exposed root | 2.5% | 670 | 220 | $54K |
| D9430 | 2.2% | 1,496 | 1,496 | $48K | |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 2,632 | 2,293 | $34K |
25 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 1.5% | 3,793 | $33K |
| D7230 | 1.5% | 147 | $33K | |
| D1120 | Dental cleaning, child | 1.3% | 569 | $29K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.3% | 373 | $28K |
| D9310 | 1.2% | 580 | $26K | |
| D9222 | 1.1% | 164 | $23K | |
| D9420 | <1% | 136 | $21K | |
| D0120 | Dental checkup, returning patient | <1% | 160 | $12K |
| D1206 | Topical application of fluoride varnish | <1% | 462 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 91 | $5K |
| D7310 | <1% | 24 | $3K | |
| D1310 | <1% | 60 | $3K | |
| D0274 | Bitewings - four radiographic images | <1% | 91 | $2K |
| D9610 | <1% | 68 | $2K | |
| D1354 | <1% | 145 | $2K | |
| D0272 | Bitewings - two radiographic images | <1% | 122 | $1K |
| D1351 | Sealant - per tooth | <1% | 25 | $962.50 |
| D1352 | <1% | 24 | $924.00 | |
| D8660 | <1% | 36 | $900.00 | |
| D0603 | <1% | 59 | $870.00 | |
| D0350 | <1% | 83 | $796.80 | |
| D4921 | <1% | 530 | $760.00 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 13 | $455.00 |
| D1999 | <1% | 36 | $360.00 | |
| D0470 | <1% | 30 | $335.00 |
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 | 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 |
| Tavallaei DMD Corp | Lincoln, CA | $167K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.