Clinic
Momani DDS INC
Momani DDS INC was paid $2.17M by Medicaid between Feb 2020 and Dec 2024, across 28 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 29% of everything it billed.
33Billing provider infoMOMANI DDS INC
RIVERBANK, CA 95367
RIVERBANK, CA 95367
33aNPI1588298673assigned 02/27/2020
33bProvider typeDental Clinic/Center
28Total paid$2.17M
24GClaims40,179
24DCodes billed28
24AFirst – last monthFeb 2020 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#131 of 1,135
Median peer was paid$200K
This provider vs. median11×
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 | 360 | $20K | |
| 2021 | 3,710 | $142K | |
| 2022 | 7,322 | $353K | |
| 2023 | 12,062 | $670K | |
| 2024incomplete | 16,725 | $981K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 29% | 1,338 | 859 | $636K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.7% | 3,180 | 3,163 | $210K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.3% | 2,684 | 1,234 | $179K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 6.2% | 288 | 231 | $133K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.7% | 2,257 | 1,015 | $123K |
| D0210 | Intraoral - complete series of radiographic images | 5.4% | 2,466 | 2,450 | $117K |
| D1110 | Prophylaxis - adult | 4.0% | 970 | 957 | $86K |
| D0350 | 3.6% | 8,131 | 2,145 | $78K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.5% | 1,037 | 1,024 | $76K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.3% | 611 | 269 | $71K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.7% | 1,209 | 1,194 | $58K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.1% | 586 | 321 | $47K |
16 more codes
| D3320 | 2.1% | 127 | $46K | |
| D2952 | 1.9% | 393 | $41K | |
| D2332 | 1.8% | 487 | $39K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.7% | 8,981 | $37K |
| D1208 | Topical application of fluoride, excluding varnish | 1.4% | 2,207 | $31K |
| D0274 | Bitewings - four radiographic images | 1.3% | 1,276 | $27K |
| D4341 | 1.0% | 322 | $23K | |
| D2954 | <1% | 205 | $21K | |
| D2330 | <1% | 221 | $18K | |
| D2335 | <1% | 148 | $18K | |
| D2331 | <1% | 215 | $17K | |
| D1351 | Sealant - per tooth | <1% | 358 | $13K |
| D4910 | <1% | 131 | $10K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 74 | $5K |
| D9430 | <1% | 130 | $4K | |
| D0272 | Bitewings - two radiographic images | <1% | 147 | $2K |
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 | Los Banos, CA | $2.04M |
| 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.