Dental
Tavallaei, D.M.D., Corporation
Tavallaei, D.M.D., Corporation was paid $295K by Medicaid between Dec 2022 and Nov 2024, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.
33Billing provider infoTAVALLAEI, D.M.D., CORPORATION
AUBURN, CA 95603
AUBURN, CA 95603
33aNPI1538225933assigned 12/29/2006
33bProvider typePediatric Dentist
28Total paid$295K
24GClaims10,730
24DCodes billed14
24AFirst – last monthDec 2022 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in California
Rank by total paid#195 of 332
Median peer was paid$450K
This provider vs. median0.7×
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 | 207 | $6K | |
| 2023 | 4,636 | $125K | |
| 2024incomplete | 5,887 | $165K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 1,484 | 1,484 | $77K |
| D0150 | Comprehensive oral evaluation - new or established patient | 16% | 698 | 698 | $46K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 634 | 634 | $45K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 483 | 355 | $32K |
| D1206 | Topical application of fluoride varnish | 8.5% | 1,255 | 1,255 | $25K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 8.4% | 632 | 563 | $25K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.9% | 4,203 | 1,353 | $18K |
| D0272 | Bitewings - two radiographic images | 2.8% | 684 | 683 | $8K |
| D0274 | Bitewings - four radiographic images | 2.3% | 316 | 316 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.4% | 78 | 65 | $4K |
| D0145 | Oral evaluation for a patient under three years of age | 1.2% | 51 | 51 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 182 | 178 | $2K |
2 more codes
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 DMD Corp | Lincoln, CA | $167K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.