Dental
Momani, Ahmad
Momani, Ahmad was paid $523K by Medicaid between Jan 2018 and Nov 2019, across 18 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 17% of everything it billed.
33Billing provider infoMOMANI, AHMAD
MODESTO, CA 95355
MODESTO, CA 95355
33aNPI1538490214assigned 01/20/2010
33bProvider typeDentist
28Total paid$523K
24GClaims14,776
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2019
Compared with peers
Next to other Dentist providers in California
Rank by total paid#768 of 2,314
Median peer was paid$185K
This provider vs. median2.8×
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 | |
|---|---|---|---|
| 2018 | 6,922 | $197K | |
| 2019 | 7,854 | $326K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 17% | 759 | 271 | $88K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 1,241 | 1,236 | $73K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 11% | 864 | 468 | $57K |
| D0210 | Intraoral - complete series of radiographic images | 9.7% | 1,113 | 1,110 | $51K |
| D2140 | 7.6% | 736 | 385 | $40K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.5% | 919 | 918 | $34K |
| D1110 | Prophylaxis - adult | 6.2% | 412 | 410 | $32K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.8% | 1,059 | 1,051 | $30K |
| D9430 | 4.2% | 760 | 700 | $22K | |
| D1351 | Sealant - per tooth | 3.7% | 910 | 233 | $19K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 2.9% | 33 | 30 | $15K |
| D0274 | Bitewings - four radiographic images | 2.8% | 788 | 785 | $15K |
6 more codes
| D2160 | 2.6% | 176 | $14K | |
| D0230 | Intraoral - periapical each additional radiographic image | 2.3% | 3,112 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 2.1% | 1,298 | $11K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 457 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 58 | $3K |
| D0272 | Bitewings - two radiographic images | <1% | 81 | $849.50 |
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.