Clinic
Momani DDS INC
Momani DDS INC was paid $3.48M by Medicaid between Jul 2018 and Dec 2024, across 35 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 20% of everything it billed.
33Billing provider infoMOMANI DDS INC
MODESTO, CA 95350
MODESTO, CA 95350
33aNPI1215329487assigned 02/25/2015
33bProvider typeDental Clinic/Center
28Total paid$3.48M
24GClaims59,119
24DCodes billed35
24AFirst – last monthJul 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#88 of 1,135
Median peer was paid$200K
This provider vs. median17×
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 | |
|---|---|---|---|
| 2018 | 1,470 | $81K | |
| 2019 | 8,025 | $469K | |
| 2020 | 2,438 | $133K | |
| 2021 | 4,797 | $265K | |
| 2022 | 7,989 | $588K | |
| 2023 | 15,801 | $939K | |
| 2024incomplete | 18,599 | $1.01M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 20% | 1,497 | 1,182 | $710K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 7,251 | 7,238 | $476K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 12% | 922 | 834 | $424K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 9.5% | 2,840 | 1,147 | $331K |
| D0210 | Intraoral - complete series of radiographic images | 9.0% | 6,591 | 6,578 | $312K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.5% | 3,403 | 1,549 | $228K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.7% | 3,675 | 1,370 | $200K |
| D0350 | 2.8% | 10,086 | 2,709 | $97K | |
| D1110 | Prophylaxis - adult | 2.1% | 841 | 839 | $73K |
| D2952 | 1.9% | 632 | 506 | $66K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.9% | 897 | 894 | $65K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.8% | 969 | 476 | $64K |
23 more codes
| D9430 | 1.6% | 1,761 | $55K | |
| D3320 | 1.3% | 124 | $45K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 10,160 | $42K |
| D1120 | Dental cleaning, child | 1.1% | 860 | $39K |
| D4341 | 1.0% | 512 | $36K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 2,266 | $32K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 393 | $31K |
| D2140 | <1% | 440 | $24K | |
| D2954 | <1% | 222 | $23K | |
| D0274 | Bitewings - four radiographic images | <1% | 1,028 | $22K |
| D2335 | <1% | 178 | $21K | |
| D4910 | <1% | 253 | $19K | |
| D2160 | <1% | 180 | $14K | |
| D2332 | <1% | 87 | $7K | |
| D1351 | Sealant - per tooth | <1% | 193 | $6K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 434 | $5K |
| D0330 | Panoramic radiographic image | <1% | 206 | $4K |
| D2330 | <1% | 47 | $4K | |
| D2331 | <1% | 38 | $3K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 35 | $2K |
| D2394 | <1% | 23 | $2K | |
| D9110 | <1% | 14 | $819.00 | |
| D0272 | Bitewings - two radiographic images | <1% | 61 | $720.00 |
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 | 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 |
| Momani DDS INC. | Sacramento, CA | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.