Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Joliet › NPI 1376024026
Dental

Rahman, Momina

Rahman, Momina was paid $409K by Medicaid between Jun 2019 and Oct 2024, across 21 billing codes. Its largest line is D1120, dental cleaning, child — 28% of everything it billed.

33Billing provider infoRAHMAN, MOMINA
JOLIET, IL 60435
33aNPI1376024026assigned 08/21/2018
33bProvider typeDentist
28Total paid$409K
24GClaims17,901
24DCodes billed21
24AFirst – last monthJun 2019 – Oct 2024
Compared with peers

Next to other Dentist providers in Illinois

Rank by total paid#343 of 1,099
Median peer was paid$160K
This provider vs. median2.6×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20194,477$109K
20207,312$150K
20215,984$149K
2024incomplete128$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 28% 2,919 2,714 $114K
D1206 Topical application of fluoride varnish 17% 2,896 2,694 $71K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 14% 2,174 2,014 $58K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 9.6% 625 466 $39K
D1351 Sealant - per tooth 7.1% 453 246 $29K
D0150 Comprehensive oral evaluation - new or established patient 5.3% 1,068 967 $21K
D0274 Bitewings - four radiographic images 4.1% 1,099 1,009 $17K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3.2% 338 262 $13K
D0220 Intraoral - periapical first radiographic image 2.8% 2,133 1,967 $11K
D0230 Intraoral - periapical each additional radiographic image 2.3% 1,909 1,744 $9K
D0140 Limited oral evaluation - problem focused 1.8% 489 447 $8K
D0272 Bitewings - two radiographic images 1.4% 609 574 $6K
9 more codes
D4341 <1% 20 $4K
D7140 Extraction, erupted tooth or exposed root <1% 75 $4K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 29 $2K
D0330 Panoramic radiographic image <1% 59 $1K
D0210 Intraoral - complete series of radiographic images <1% 72 $992.10
D1110 Prophylaxis - adult <1% 17 $492.00
D9310 <1% 12 $188.10
D0270 <1% 12 $67.20
D1999 0% 893 $0.00

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.