Clinic
Momani DDS INC
Momani DDS INC was paid $2.03M by Medicaid between Feb 2020 and Dec 2024, across 32 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 28% of everything it billed.
33Billing provider infoMOMANI DDS INC
LIVINGSTON, CA 95334
LIVINGSTON, CA 95334
33aNPI1861026940assigned 02/27/2020
33bProvider typeDental Clinic/Center
28Total paid$2.03M
24GClaims36,935
24DCodes billed32
24AFirst – last monthFeb 2020 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#135 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 | 1,588 | $61K | |
| 2021 | 4,464 | $237K | |
| 2022 | 7,938 | $502K | |
| 2023 | 12,387 | $652K | |
| 2024incomplete | 10,558 | $578K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 28% | 1,191 | 896 | $559K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 3,470 | 3,455 | $228K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 9.4% | 411 | 393 | $190K |
| D0210 | Intraoral - complete series of radiographic images | 7.6% | 3,244 | 3,233 | $155K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.5% | 1,679 | 853 | $112K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 4.4% | 766 | 429 | $90K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.2% | 1,132 | 1,127 | $86K |
| D1110 | Prophylaxis - adult | 3.9% | 875 | 871 | $78K |
| D0350 | 3.8% | 8,001 | 2,086 | $77K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.0% | 1,136 | 538 | $62K |
| D2952 | 2.4% | 473 | 381 | $49K | |
| D4341 | 2.1% | 611 | 167 | $43K |
20 more codes
| D2954 | 1.9% | 385 | $39K | |
| D3320 | 1.9% | 105 | $38K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.9% | 483 | $38K |
| D1120 | Dental cleaning, child | 1.7% | 771 | $35K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.5% | 7,402 | $31K |
| D4910 | 1.4% | 357 | $27K | |
| D1208 | Topical application of fluoride, excluding varnish | 1.3% | 1,870 | $26K |
| D0274 | Bitewings - four radiographic images | 1.2% | 1,103 | $24K |
| D9430 | <1% | 318 | $10K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 129 | $9K |
| D1351 | Sealant - per tooth | <1% | 164 | $5K |
| D1206 | Topical application of fluoride varnish | <1% | 347 | $5K |
| D2335 | <1% | 33 | $4K | |
| D2330 | <1% | 41 | $3K | |
| D2140 | <1% | 55 | $3K | |
| D2160 | <1% | 23 | $2K | |
| D2394 | <1% | 12 | $1K | |
| D3221 | <1% | 12 | $756.00 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 27 | $324.00 |
| D0330 | Panoramic radiographic image | <1% | 309 | $180.00 |
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 | Los Banos, CA | $2.04M |
| 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.