Dental
Momani DDS INC.
Momani DDS INC. was paid $8K by Medicaid between Sep 2022 and Jan 2023, across 2 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 68% of everything it billed.
33Billing provider infoMOMANI DDS INC.
SACRAMENTO, CA 95822
SACRAMENTO, CA 95822
33aNPI1104418714assigned 02/04/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$8K
24GClaims130
24DCodes billed2
24AFirst – last monthSep 2022 – Jan 2023
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#2,233 of 2,668
Median peer was paid$173K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2022 | 99 | $6K | |
| 2023 | 31 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 68% | 79 | 66 | $5K |
| D0210 | Intraoral - complete series of radiographic images | 32% | 51 | 39 | $2K |
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.
From NPPES
Who's on the registration
Authorized officialMOMANI, AHMAD (CEO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.