Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › SACRAMENTO › MOMANI DDS INC.

MOMANI DDS INC.

NPI: 1104418714 · SACRAMENTO, CA 95822 · General Practice Dentistry · NPI assigned 02/04/2021

$8K
Total Medicaid Paid
130
Total Claims
105
Beneficiaries
2
Codes Billed
2022-09
First Month
2023-01
Last Month

Provider Details

Authorized OfficialMOMANI, AHMAD (CEO)
NPI Enumeration Date02/04/2021

Related Entities

Other providers sharing the same authorized official: MOMANI, AHMAD

ProviderCityStateTotal Paid
MOMANI DDS INC MODESTO CA $3.48M
MOMANI DDS INC STOCKTON CA $2.76M
MOMANI DDS INC RIVERBANK CA $2.17M
MOMANI DDS INC LOS BANOS CA $2.04M
MOMANI DDS INC LIVINGSTON CA $2.03M
MOMANI DDS INC. WEST SACRAMENTO CA $1.34M
MOMANI DDS INC. ROSEVILLE CA $646K
MOMANI DDS INC MERCED CA $258K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 99 $6K
2023 31 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 79 66 $5K
D0210 Intraoral - complete series of radiographic images 51 39 $2K