Providers
All 214 in CA
MAGALY M VELASQUEZ, DENTIST
NPI 1457658338, individual, Rancho Cucamonga, CA, Dentist
1
Evidence tier
documented action, then payment
- Listed on the Medicare revocation list and a state attorney general release since July 19, 2024.
- Medicaid still paid claims in 4 later months, $59,903 in total.
- Adjudicated (sentenced) per a state attorney general release dated July 22, 2024.
- Medicaid dollars per patient on code D1110 ($87 per patient-month) sit in the top 5% of every provider billing that code.
score 99 of 100, rank 18, $60K at stake
Public list actions
Medicare revocation effective July 19, 2024, barred from re-enrolling until July 19, 2034
424.535(a)(12) other program termination (medicaid) and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion), Practitioner - Oral Surgery, CA
OIG exclusion March 20, 2025 under section 1128a1
Ind- Lic HC Serv Pro, Dentist, Upland, 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.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| state ag adjudicated enforcement record (sentenced): attorney general bonta secures sentencing of southern california dentist for medi-cal fraud | No NPI on the list; matched by name at high confidence | Jul 22, 2024 | still open | 4 | Aug 2024 | Nov 2024 | $60K | $378K |
| Medicare revocation list 424.535(a)(12) other program termination (medicaid) and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion) | Exact NPI, name verified | Jul 19, 2024 | Jul 19, 2034 | 4 | Aug 2024 | Nov 2024 | $60K | $378K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MAGALY M VELASQUEZ, DENTIST |
| Type | Individual |
| Status | Active |
| NPI issued | February 11, 2011, last updated March 31, 2016 |
| Practice location | 9426 TWIN OAKS PL, Rancho Cucamonga, CA 91730-7932, 909-466-4999 |
| Specialties | Dentist (122300000X, primary, license 60169 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
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| D2740 | Medicaid service code | $374K | 31% | $714 | $787 (top 5% from $2K) | 40th percentile | |
| D2392 | Medicaid service code | $134K | 11% | $120 | $126 (top 5% from $259) | 45th percentile | |
| D0150 | Medicaid service code | $114K | 9% | $66 | $35 (top 5% from $66) | 93rd percentile | |
| D3330 | Medicaid service code | $110K | 9% | $487 | $529 (top 5% from $869) | 30th percentile | |
| D1110 | Medicaid service code | $101K | 8% | $87 | $45 (top 5% from $86) | 96th percentile | |
| D0210 | Medicaid service code | $80K | 7% | $47 | $47 (top 5% from $78) | 51st percentile | |
| D0120 | Medicaid service code | $70K | 6% | $78 | $26 (top 5% from $63) | 98th percentile | |
| D2393 | Medicaid service code | $59K | 5% | $117 | $129 (top 5% from $285) | 41st percentile |
In this area
214 providers in San Bernardino County, CA carry an indicator in the public record, with $174.5M at stake between them. The most common is part of a provider network, on 111 of them, followed by more hours than a day holds on 98. 2 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | MAGALY M VELASQUEZ DDS PROFESSIONAL DENTAL CORP Rancho Cucamonga, CA, ranked 174 | $60K |
|
| 1 | PAUL STANTON Apple Valley, CA, ranked 358 | $2K |
|
| 3 | CALSTRO HOSPICE INC. Montclair, CA, ranked 949 | $2.8M |
|
| 3 | FLOWER HOME HEALTH INC. Rancho Cucamonga, CA, ranked 1002 | $1.5M |
|
| 3 | SUNCREST HOME HEALTH SERVICES, INC. Chino, CA, ranked 1066 | $866K |
|
| 3 | ACES HOME HEALTHCARE SERVICES, INC Montclair, CA, ranked 1142 | $518K |
|
| 3 | VANURA HOMEHEALTH SERVICES, INC. Rancho Cucamonga, CA, ranked 1154 | $482K |
|
| 3 | NOVA HOME HEALTH INC. Upland, CA, ranked 1266 | $230K |
|
Recent enforcement in CA
All releasesDepartment 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
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.