Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

S. JANG DDS INCORPORATED

NPI: 1922513811 · FAIRFIELD, CA 94533 · General Practice Dentistry · NPI assigned 12/13/2017

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

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

$34K
Total Medicaid Paid
1,956
Total Claims
1,085
Beneficiaries
11
Codes Billed
2020-12
First Month
2024-02
Last Month

Provider Details

Authorized OfficialCASTILLO, MEGAN (MANAGER)
NPI Enumeration Date12/13/2017

Related Entities

Other providers sharing the same authorized official: CASTILLO, MEGAN

ProviderCityStateTotal 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
TAVALLAEI, D.M.D., CORPORATION FAIRFIELD CA $31K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 13 $858.00
2021 1,238 $22K
2022 483 $9K
2023 133 $1K
2024 89 $816.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 212 212 $14K
D0350 736 224 $7K
D1120 Prophylaxis - child 99 99 $4K
D0230 Intraoral - periapical each additional radiographic image 489 142 $2K
D0210 Intraoral - complete series of radiographic images 47 47 $2K
D1206 Topical application of fluoride varnish 109 109 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 17 14 $975.10
D0120 Periodic oral evaluation - established patient 13 13 $805.00
D0330 Panoramic radiographic image 12 12 $360.00
D0220 Intraoral - periapical first radiographic image 12 12 $144.00
D1999 210 201 $50.00