Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MOMANI DDS INC

NPI: 1548895634 · LOS BANOS, CA 93635 · 261QD0000X

$2.04M
Total Medicaid Paid
28,749
Total Claims
18,069
Beneficiaries
31
Codes Billed
2020-06
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,036 $49K
2021 4,560 $218K
2022 5,513 $400K
2023 8,073 $608K
2024 9,567 $766K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2740 1,328 977 $631K
D3330 467 418 $216K
D0150 3,259 3,245 $215K
D0210 2,781 2,766 $132K
D7210 930 380 $109K
D2392 1,592 752 $106K
D2391 1,552 662 $83K
D4341 1,065 277 $75K
D0120 810 806 $62K
D1120 1,251 1,243 $58K
D2150 777 414 $51K
D2140 848 401 $46K
D2952 352 233 $37K
D1110 414 410 $37K
D3320 94 84 $34K
D1208 1,992 1,981 $27K
D0230 6,288 1,257 $26K
D0274 803 799 $17K
D2393 175 118 $14K
D4910 170 170 $13K
D1351 391 107 $10K
D0350 1,022 309 $10K
D2330 91 57 $7K
D2954 65 48 $7K
D2160 82 60 $7K
D3310 15 13 $5K
D4342 50 16 $2K
D7140 31 14 $2K
D9430 28 28 $896.00
D3221 13 12 $819.00
D0272 13 12 $144.00