BENJAMIN LOUIS PALLA DMD
NPI 1679073134
Dentist - Oral and Maxillofacial Surgery in Santa Monica, CA

Active since February 20, 2018Opted out of Medicare · through Mar 20, 2028
1301 20TH ST STE 400, SANTA MONICA, CA 90404(310) 453-5330(310) 453-5326 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 5, 2018, Feb 20, 2018 (2 updates tracked since 2018).

About Benjamin Louis Palla Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENJAMIN LOUIS PALLA DMD (NPI 1679073134) is an individual oral and maxillofacial surgery provider in Santa Monica, California, licensed in California (DDS109926) and active in the NPI registry since February 2018. He has opted out of Medicare through March 20, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1679073134
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameBENJAMIN LOUIS PALLACredential: DMD
Location Address1301 20TH ST STE 400Santa Monica, CA 90404-2090
Mailing Address1301 20th St Ste 400Santa Monica, CA 90404-2090 · (310) 453-5330 · Fax (310) 453-5326
Fax(310) 453-5326
Sole ProprietorNo
Enumeration DateFebruary 20, 2018
Last NPPES UpdateSeptember 26, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2025
NPI 1679073134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in CA · DDS109926
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1301 20TH ST STE 400, Santa Monica, CA 90404

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Benjamin Louis Palla Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 20, 2026 through March 20, 2028.

Opt-Out Effective DateMarch 20, 2026
Opt-Out In Effect ThroughMarch 20, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
1301 20TH ST STE 400
SANTA MONICA, CA 90404
Physician Assistant
1301 20TH ST STE 400
SANTA MONICA, CA 90404
Clinic/Center (Oral and Maxillofacial Surgery)
1301 20TH ST STE 400
SANTA MONICA, CA 90404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Palla's NPI number?

The NPI number for Benjamin Palla is 1679073134. It was assigned to this individual provider in the NPPES registry on February 20, 2018.

Where is Benjamin Palla located?

Benjamin Palla practices at 1301 20th St Ste 400, Santa Monica, CA 90404. The listed phone number is (310) 453-5330.

What is Benjamin Palla's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Benjamin Palla enrolled in Medicare?

No. Benjamin Palla has opted out of Medicare through March 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Benjamin Palla accept?

Health plans from Humana and Renaissance Dental list Benjamin Palla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Benjamin Palla was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.