Dental
Tavallaei, D.M.D., Corporation
Tavallaei, D.M.D., Corporation was paid $436K by Medicaid between Dec 2022 and Dec 2024, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.
33Billing provider infoTAVALLAEI, D.M.D., CORPORATION
ROCKLIN, CA 95765
ROCKLIN, CA 95765
33aNPI1871752915assigned 06/04/2008
33bProvider typePediatric Dentist
28Total paid$436K
24GClaims16,598
24DCodes billed18
24AFirst – last monthDec 2022 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in California
Rank by total paid#170 of 332
Median peer was paid$450K
This provider vs. median1.0×
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 | 153 | $4K | |
| 2023 | 6,213 | $147K | |
| 2024incomplete | 10,232 | $285K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 2,193 | 2,193 | $113K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 900 | 900 | $65K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 706 | 706 | $46K |
| D1206 | Topical application of fluoride varnish | 8.5% | 1,961 | 1,961 | $37K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 8.1% | 256 | 116 | $35K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.4% | 7,278 | 2,017 | $32K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.1% | 364 | 278 | $26K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.3% | 580 | 549 | $23K |
| D0330 | Panoramic radiographic image | 3.7% | 481 | 481 | $16K |
| D9430 | 2.9% | 400 | 400 | $13K | |
| D0274 | Bitewings - four radiographic images | 2.5% | 521 | 521 | $11K |
| D0272 | Bitewings - two radiographic images | 1.2% | 445 | 445 | $5K |
6 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 75 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 305 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 55 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 13 | $1K |
| D1352 | <1% | 27 | $1K | |
| D0470 | <1% | 38 | $75.00 |
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 (PEDIATRIC DENTIST)
| 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 | 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.