Providers

JAVAD SAGE AGHALOO, D.D.S.

NPI 1073708582, individual, El Centro, CA, Dentist, General Practice

1
Evidence tier
documented action, then payment
  • Listed on the Medicare revocation list since November 20, 2023.
  • Medicaid still paid claims in 2 later months, $23,379 in total.
  • Adjudicated (sentenced) per a Department of Justice release dated January 26, 2024.
score 94 of 100, rank 233, $23K at stake

Public list actions

Medicare revocation effective November 20, 2023, barred from re-enrolling until November 20, 2033
424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion), Practitioner - Oral Surgery, CA
OIG exclusion October 20, 2024 under section 1128a1
Bus Owner/Exec, Dental Practice, Lompoc, CA

Paid after the action

Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.

listidentity checkaction datewindow closedmonths paid afterfirstlastpaid after12 months before
Medicare revocation list
424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion)
Exact NPI, name verifiedNov 20, 2023Nov 20, 20332Dec 2023Jan 2024$23K$3K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameJAVAD SAGE AGHALOO, D.D.S.
TypeIndividual, sole proprietor
StatusActive
NPI issuedSeptember 7, 2007, last updated May 5, 2015
Practice location1502 S. LA BRUCHERIE RD., El Centro, CA 92243, 760-482-5505
Specialties
Dentist (122300000X, license 51184 CA)
Dentist, General Practice (1223G0001X, primary, license 51184 CA)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)$11K22%$235$110 (top 5% from $283)too few months to rank
D2751Medicaid service code$10K20%$588$666 (top 5% from $978)too few months to rank
D7210Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated$6K12%$186$213 (top 5% from $539)too few months to rank
D0120Medicaid service code$5K11%$61$26 (top 5% from $63)too few months to rank
D2392Medicaid service code$4K8%$111$126 (top 5% from $259)too few months to rank
D0150Medicaid service code$4K7%$65$35 (top 5% from $66)too few months to rank
D2391Medicaid service code$3K6%$102$95 (top 5% from $191)too few months to rank
D0230Medicaid service code$3K5%$23$12 (top 5% from $28)too few months to rank

In this area

14 providers in Imperial County, CA carry an indicator in the public record, with $21.1M at stake between them. The most common is more hours than a day holds, on 11 of them, followed by part of a provider network on 3.

tierproviderat stakewhy
3ARIA HOSPICE LLC
EL Centro, CA, ranked 1163
$458K
  • Part of provider network D1-00011, ranked 11 nationally.
3ASSISTING HANDS HEALTH CARE
EL Centro, CA, ranked 1768
$0
  • Part of provider network D1-00012, ranked 12 nationally.
3IMPERIAL CARE LLC
EL Centro, CA, ranked 3534
$0
  • Part of provider network D1-00031, ranked 31 nationally.
4AMEEN ALSHAREEF
EL Centro, CA, ranked 7494
$4.0M
  • Hours beyond a day in 12 months, but with up to 2096 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
4VISHWA KAPOOR
EL Centro, CA, ranked 7604
$2.6M
  • Hours beyond a day in 6 months, but with up to 902 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
4HAMID ZADEH
Imperial, CA, ranked 7825
$1.1M
  • Hours beyond a day in 1 month, but with up to 1224 patients a month across 8 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
4BRIAN TYSON
EL Centro, CA, ranked 8360
$6.3M
  • Hours beyond a day in 20 months, but with up to 1822 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
4TIEN VO
EL Centro, CA, ranked 8458
$4.0M
  • Hours beyond a day in 14 months, but with up to 15009 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
All 14 in CA

Recent enforcement in CA

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJPleaded guiltyAug 27, 2026
Anaheim Woman Pleads Guilty to Submitting More Than $2.2 Million in Fraudulent Hospice Care Claims to Medicare
Galbraith submitted approximately $2,266,694 in claims to Medicare for hospice services for beneficiaries who did not have a terminal illness with a life expectancy of six months or less, and Medicare paid her company approximately $2,140,606.
DOJCivil settlementAug 26, 2026
DermTech Inc. to Pay Up to $5M to Resolve Allegations It Submitted False Claims to Medicare for Unreliable Skin Cancer Tests
DermTech Inc. submitted claims to Medicare for skin cancer tests conducted with an unvalidated positive control range and for tests lacking sufficient patient RNA, and did not retract results or adequately refund Medicare.
DOJCivil settlementAug 26, 2026
DermTech Inc. to Pay Up to $5M to Resolve Allegations It Submitted False Claims to Medicare for Unreliable Skin Cancer Tests
DermTech Inc. billed Medicare for skin cancer tests conducted using an unvalidated positive control range and for tests with insufficient patient RNA, and did not retract the results or adequately refund Medicare.
DOJCivil settlementAug 24, 2026
Medicare Advantage Provider Monogram Health Agrees to Pay $2.4 Million to Settle False Claims Act Lawsuit
Monogram knowingly submitted diagnosis codes in four HCCs that were not clinically accurate, not supported by medical record documentation, and/or did not require or affect patient care, inflating Medicare Advantage beneficiaries' risk scores and causing CMS to make higher capitated payments to Medicare Advantage Organizations.
DOJCivil settlementAug 24, 2026
Medicare Advantage Provider Monogram Health Agrees to Pay $2.4M to Settle False Claims Act Suit
Monogram Health knowingly submitted diagnosis codes within four HCCs that were not clinically accurate, not supported by medical record documentation, and/or did not require or affect patient care, inflating Medicare Advantage beneficiaries' risk scores and causing CMS to make higher capitated payments to MAOs.

Referral packet

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