TAVALLAEI, D.M.D., CORPORATION
NPI: 1922261882
· ELK GROVE, CA 95624
· 1223P0221X
$2.08M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
200 |
$10K |
| 2020 |
414 |
$26K |
| 2021 |
4,610 |
$265K |
| 2022 |
2,741 |
$204K |
| 2023 |
10,893 |
$766K |
| 2024 |
11,612 |
$807K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D8670 |
|
3,128 |
3,063 |
$440K |
| D7210 |
|
2,898 |
979 |
$357K |
| D3330 |
|
304 |
290 |
$253K |
| D0150 |
|
2,745 |
2,721 |
$179K |
| D2392 |
|
950 |
660 |
$124K |
| D0330 |
|
2,577 |
2,538 |
$117K |
| D3320 |
|
136 |
129 |
$84K |
| D9230 |
|
2,469 |
2,119 |
$83K |
| D9310 |
|
1,733 |
1,711 |
$83K |
| D2930 |
|
292 |
225 |
$59K |
| D0230 |
|
4,905 |
2,597 |
$52K |
| D0220 |
|
3,390 |
3,012 |
$51K |
| D7140 |
|
521 |
309 |
$48K |
| D1120 |
|
775 |
775 |
$40K |
| D8660 |
|
739 |
737 |
$18K |
| D0120 |
|
178 |
178 |
$14K |
| D1206 |
|
742 |
742 |
$14K |
| D9430 |
|
267 |
264 |
$9K |
| D2391 |
|
92 |
75 |
$9K |
| D2393 |
|
48 |
45 |
$8K |
| D7240 |
|
35 |
16 |
$7K |
| D7230 |
|
19 |
13 |
$5K |
| D1351 |
|
101 |
57 |
$4K |
| D1354 |
|
150 |
46 |
$4K |
| D1999 |
|
405 |
398 |
$4K |
| D0274 |
|
134 |
134 |
$3K |
| D0272 |
|
184 |
184 |
$3K |
| D0470 |
|
51 |
45 |
$2K |
| D1310 |
|
51 |
50 |
$2K |
| D0350 |
|
229 |
109 |
$1K |
| D0603 |
|
51 |
50 |
$645.06 |
| D0340 |
|
13 |
13 |
$520.00 |
| D4921 |
|
158 |
60 |
$320.00 |