Clinic
Momani DDS INC
Momani DDS INC was paid $2.04M by Medicaid between Jun 2020 and Dec 2024, across 31 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 31% of everything it billed.
33Billing provider infoMOMANI DDS INC
LOS BANOS, CA 93635
LOS BANOS, CA 93635
33aNPI1548895634assigned 03/09/2020
33bProvider typeDental Clinic/Center
28Total paid$2.04M
24GClaims28,749
24DCodes billed31
24AFirst – last monthJun 2020 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#134 of 1,135
Median peer was paid$200K
This provider vs. median10×
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 | |
|---|---|---|---|
| 2020 | 1,036 | $49K | |
| 2021 | 4,560 | $218K | |
| 2022 | 5,513 | $400K | |
| 2023 | 8,073 | $608K | |
| 2024incomplete | 9,567 | $766K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 31% | 1,328 | 977 | $631K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 11% | 467 | 418 | $216K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 3,259 | 3,245 | $215K |
| D0210 | Intraoral - complete series of radiographic images | 6.5% | 2,781 | 2,766 | $132K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 5.3% | 930 | 380 | $109K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.2% | 1,592 | 752 | $106K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.1% | 1,552 | 662 | $83K |
| D4341 | 3.7% | 1,065 | 277 | $75K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.1% | 810 | 806 | $62K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.8% | 1,251 | 1,243 | $58K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.5% | 777 | 414 | $51K |
| D2140 | 2.2% | 848 | 401 | $46K |
19 more codes
| D2952 | 1.8% | 352 | $37K | |
| D1110 | Prophylaxis - adult | 1.8% | 414 | $37K |
| D3320 | 1.7% | 94 | $34K | |
| D1208 | Topical application of fluoride, excluding varnish | 1.3% | 1,992 | $27K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.3% | 6,288 | $26K |
| D0274 | Bitewings - four radiographic images | <1% | 803 | $17K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 175 | $14K |
| D4910 | <1% | 170 | $13K | |
| D1351 | Sealant - per tooth | <1% | 391 | $10K |
| D0350 | <1% | 1,022 | $10K | |
| D2330 | <1% | 91 | $7K | |
| D2954 | <1% | 65 | $7K | |
| D2160 | <1% | 82 | $7K | |
| D3310 | <1% | 15 | $5K | |
| D4342 | <1% | 50 | $2K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 31 | $2K |
| D9430 | <1% | 28 | $896.00 | |
| D3221 | <1% | 13 | $819.00 | |
| D0272 | Bitewings - two radiographic images | <1% | 13 | $144.00 |
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)
Parent organizationMOMANI DDS INC
| 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 | 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.