Dental
Momin, Farhan Abbas
Momin, Farhan Abbas was paid $26K by Medicaid between Sep 2021 and Jun 2022, across 9 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 26% of everything it billed.
33Billing provider infoMOMIN, FARHAN ABBAS
DALLAS, GA 30132
DALLAS, GA 30132
33aNPI1700437118assigned 09/26/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$26K
24GClaims789
24DCodes billed9
24AFirst – last monthSep 2021 – Jun 2022
Compared with peers
Next to other General Practice Dentistry providers in Georgia
Rank by total paid#34 of 63
Median peer was paid$30K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2021 | 378 | $13K | |
| 2022 | 411 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 26% | 294 | 289 | $7K |
| D1120 | Dental cleaning, childProphylaxis - child | 25% | 159 | 158 | $6K |
| D0210 | Intraoral - complete series of radiographic images | 15% | 128 | 125 | $4K |
| D2740 | Crown - porcelain/ceramic | 13% | 13 | 13 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.0% | 67 | 66 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.5% | 21 | 15 | $2K |
| D1206 | Topical application of fluoride varnish | 3.0% | 30 | 30 | $780.00 |
| D0330 | Panoramic radiographic image | 2.8% | 51 | 50 | $723.20 |
| D1110 | Prophylaxis - adult | 2.5% | 26 | 25 | $656.00 |
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.