TAVALLAEI, D.M.D., CORPORATION

NPI: 1740795657 · FAIRFIELD, CA 94533 · Pediatric Dentist · NPI assigned 12/14/2017

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$31K

Total Medicaid Paid

1,333

Total Claims

867

Beneficiaries

Codes Billed

2023-07

First Month

2024-09

Last Month

Provider Details

Authorized Official	CASTILLO, MEGAN (MANAGER)
NPI Enumeration Date	12/14/2017

Other providers sharing the same authorized official: CASTILLO, MEGAN

Provider	City	State	Total 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
TAVALLAEI, D.M.D., CORPORATION	SAN RAMON	CA	$155K
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
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

Year	Claims	Total Paid
2023	491	$13K
2024	842	$18K

Code	Description	Claims	Beneficiaries	Total Paid
D1120	Prophylaxis - child	299	299	$15K
D1206	Topical application of fluoride varnish	258	258	$6K
D0150	Comprehensive oral evaluation - new or established patient	82	82	$5K
D0230	Intraoral - periapical each additional radiographic image	653	190	$3K
D0120	Periodic oral evaluation - established patient	13	13	$1K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	15	12	$600.00
D0272	Bitewings - two radiographic images	13	13	$156.00