Dental
Momani DDS INC.
Momani DDS INC. was paid $1.34M by Medicaid between Jan 2022 and Dec 2024, across 20 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 49% of everything it billed.
33Billing provider infoMOMANI DDS INC.
WEST SACRAMENTO, CA 95691
WEST SACRAMENTO, CA 95691
33aNPI1487246070assigned 02/05/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$1.34M
24GClaims13,824
24DCodes billed20
24AFirst – last monthJan 2022 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#444 of 2,668
Median peer was paid$173K
This provider vs. median7.8×
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 | 1,204 | $92K | |
| 2023 | 5,906 | $561K | |
| 2024incomplete | 6,714 | $690K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 49% | 1,395 | 1,024 | $660K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 16% | 454 | 414 | $210K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.8% | 1,794 | 1,779 | $118K |
| D0210 | Intraoral - complete series of radiographic images | 5.8% | 1,633 | 1,620 | $78K |
| D2954 | 4.4% | 569 | 448 | $59K | |
| D0350 | 4.1% | 5,726 | 1,490 | $55K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.7% | 419 | 185 | $50K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.1% | 617 | 290 | $41K |
| D3320 | 1.2% | 43 | 39 | $16K | |
| D3310 | <1% | 44 | 27 | $13K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 223 | 104 | $12K |
| D2952 | <1% | 109 | 76 | $11K |
8 more codes
| D1208 | Topical application of fluoride, excluding varnish | <1% | 261 | $4K |
| D4341 | <1% | 54 | $4K | |
| D0120 | Dental checkup, returning patient | <1% | 43 | $4K |
| D4910 | <1% | 42 | $3K | |
| D1120 | Dental cleaning, child | <1% | 35 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 324 | $1K |
| D1110 | Prophylaxis - adult | <1% | 12 | $1K |
| D0274 | Bitewings - four radiographic images | <1% | 27 | $583.20 |
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. | 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.