NPI: 1790402014 · ROSEVILLE, CA 95661 · General Practice Dentistry · NPI assigned 10/26/2022
| Authorized Official | MOMANI, AHMAD (CEO/DDS) |
| NPI Enumeration Date | 10/26/2022 |
Other providers sharing the same authorized official: MOMANI, AHMAD
| Provider | City | State | Total 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 | LOS BANOS | CA | $2.04M |
| MOMANI DDS INC | LIVINGSTON | CA | $2.03M |
| MOMANI DDS INC. | WEST SACRAMENTO | CA | $1.34M |
| MOMANI DDS INC | MERCED | CA | $258K |
| MOMANI DDS INC. | SACRAMENTO | CA | $8K |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 1,569 | $163K |
| 2024 | 7,466 | $483K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2740 | 578 | 412 | $274K | |
| D3330 | 195 | 178 | $90K | |
| D0150 | 1,340 | 1,340 | $88K | |
| D0210 | 1,345 | 1,345 | $65K | |
| D0350 | 4,393 | 1,145 | $42K | |
| D2392 | 215 | 125 | $14K | |
| D2954 | 137 | 109 | $14K | |
| D3320 | 34 | 28 | $12K | |
| D2330 | 139 | 36 | $11K | |
| D2391 | 174 | 86 | $9K | |
| D1110 | 106 | 106 | $9K | |
| D2393 | 95 | 45 | $8K | |
| D7210 | 41 | 27 | $5K | |
| D1208 | 184 | 184 | $3K | |
| D0230 | 59 | 12 | $238.95 |