Dental
Momin, Hasim
Momin, Hasim was paid $143K by Medicaid between Aug 2019 and Dec 2019, across 15 billing codes. Its largest line is D1120, dental cleaning, child — 19% of everything it billed.
33Billing provider infoMOMIN, HASIM
COVINGTON, GA 30014
COVINGTON, GA 30014
33aNPI1013391119assigned 07/17/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$143K
24GClaims3,934
24DCodes billed15
24AFirst – last monthAug 2019 – Dec 2019
Compared with peers
Next to other General Practice Dentistry providers in Georgia
Rank by total paid#20 of 63
Median peer was paid$30K
This provider vs. median4.7×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 3,934 | $143K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 744 | 744 | $27K |
| D1206 | Topical application of fluoride varnish | 11% | 716 | 716 | $16K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 10% | 69 | 62 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 372 | 372 | $15K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.8% | 546 | 545 | $14K |
| D0272 | Bitewings - two radiographic images | 6.9% | 405 | 405 | $10K |
| D1351 | Sealant - per tooth | 6.1% | 145 | 79 | $9K |
| D0274 | Bitewings - four radiographic images | 6.1% | 232 | 232 | $9K |
| D2140 | 5.1% | 105 | 95 | $7K | |
| D1110 | Prophylaxis - adult | 4.1% | 163 | 163 | $6K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.8% | 210 | 204 | $5K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 3.2% | 45 | 43 | $5K |
3 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.