Dental
Momin, Shalomi
Momin, Shalomi was paid $117K by Medicaid between Apr 2018 and Jun 2019, across 13 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 22% of everything it billed.
33Billing provider infoMOMIN, SHALOMI
MUSKEGON, MI 49444
MUSKEGON, MI 49444
33aNPI1225567340assigned 06/12/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$117K
24GClaims3,102
24DCodes billed13
24AFirst – last monthApr 2018 – Jun 2019
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#338 of 1,554
Median peer was paid$15K
This provider vs. median8.1×
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 | 2,436 | $99K | |
| 2019 | 666 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 22% | 219 | 109 | $26K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 444 | 421 | $17K |
| D1206 | Topical application of fluoride varnish | 10% | 523 | 497 | $12K |
| D1110 | Prophylaxis - adult | 9.9% | 246 | 243 | $12K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.7% | 451 | 437 | $11K |
| D0210 | Intraoral - complete series of radiographic images | 9.0% | 152 | 145 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.2% | 243 | 231 | $10K |
| D7140 | Extraction, erupted tooth or exposed root | 4.6% | 79 | 40 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 4.6% | 376 | 353 | $5K |
| D0140 | Limited oral evaluation - problem focused | 3.5% | 114 | 104 | $4K |
| D0274 | Bitewings - four radiographic images | 1.5% | 52 | 52 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 185 | 99 | $1K |
1 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.1% | 18 | $1K |
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.