Dental
Tavallaei, D.M.D., Corporation
Tavallaei, D.M.D., Corporation was paid $2.08M by Medicaid between Jan 2019 and Dec 2024, across 33 billing codes. Its largest line is D8670, Periodic orthodontic treatment visit — 21% of everything it billed.
33Billing provider infoTAVALLAEI, D.M.D., CORPORATION
ELK GROVE, CA 95624
ELK GROVE, CA 95624
33aNPI1922261882assigned 07/09/2008
33bProvider typePediatric Dentist
28Total paid$2.08M
24GClaims30,470
24DCodes billed33
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in California
Rank by total paid#93 of 332
Median peer was paid$450K
This provider vs. median4.6×
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 | |
|---|---|---|---|
| 2019 | 200 | $10K | |
| 2020 | 414 | $26K | |
| 2021 | 4,610 | $265K | |
| 2022 | 2,741 | $204K | |
| 2023 | 10,893 | $766K | |
| 2024incomplete | 11,612 | $807K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 21% | 3,128 | 3,063 | $440K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 17% | 2,898 | 979 | $357K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 12% | 304 | 290 | $253K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.6% | 2,745 | 2,721 | $179K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.0% | 950 | 660 | $124K |
| D0330 | Panoramic radiographic image | 5.6% | 2,577 | 2,538 | $117K |
| D3320 | 4.1% | 136 | 129 | $84K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.0% | 2,469 | 2,119 | $83K |
| D9310 | 4.0% | 1,733 | 1,711 | $83K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.8% | 292 | 225 | $59K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 4,905 | 2,597 | $52K |
| D0220 | Intraoral - periapical first radiographic image | 2.5% | 3,390 | 3,012 | $51K |
21 more codes
| D7140 | Extraction, erupted tooth or exposed root | 2.3% | 521 | $48K |
| D1120 | Dental cleaning, child | 1.9% | 775 | $40K |
| D8660 | <1% | 739 | $18K | |
| D0120 | Dental checkup, returning patient | <1% | 178 | $14K |
| D1206 | Topical application of fluoride varnish | <1% | 742 | $14K |
| D9430 | <1% | 267 | $9K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 92 | $9K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 48 | $8K |
| D7240 | Removal of impacted tooth - completely bony | <1% | 35 | $7K |
| D7230 | <1% | 19 | $5K | |
| D1351 | Sealant - per tooth | <1% | 101 | $4K |
| D1354 | <1% | 150 | $4K | |
| D1999 | <1% | 405 | $4K | |
| D0274 | Bitewings - four radiographic images | <1% | 134 | $3K |
| D0272 | Bitewings - two radiographic images | <1% | 184 | $3K |
| D0470 | <1% | 51 | $2K | |
| D1310 | <1% | 51 | $2K | |
| D0350 | <1% | 229 | $1K | |
| D0603 | <1% | 51 | $645.06 | |
| D0340 | <1% | 13 | $520.00 | |
| D4921 | <1% | 158 | $320.00 |
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 | 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.