NPI: 1013217579 · BROWNSVILLE, TX 78521 · Pediatric Dentist · NPI assigned 10/29/2010
Authorized official KOUYOUMDJIAN, RAFFY controls 19+ related entities in our dataset. Read more
| Authorized Official | KOUYOUMDJIAN, RAFFY (OWNER) |
| NPI Enumeration Date | 10/29/2010 |
Other providers sharing the same authorized official: KOUYOUMDJIAN, RAFFY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 418 | $5K |
| 2019 | 935 | $14K |
| 2020 | 7,305 | $272K |
| 2021 | 67,475 | $2.32M |
| 2022 | 69,078 | $2.41M |
| 2023 | 66,648 | $2.28M |
| 2024 | 48,966 | $1.61M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13,816 | 6,735 | $1.38M |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 12,466 | 6,590 | $965K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5,441 | 1,714 | $790K |
| D0145 | Oral evaluation for a patient under three years of age | 5,345 | 5,314 | $748K |
| D1351 | Sealant - per tooth | 27,433 | 8,123 | $727K |
| D0120 | Periodic oral evaluation - established patient | 21,225 | 21,058 | $600K |
| D1120 | Prophylaxis - child | 13,869 | 13,758 | $496K |
| D1110 | Prophylaxis - adult | 8,392 | 8,332 | $449K |
| D7240 | Removal of impacted tooth - completely bony | 1,477 | 486 | $405K |
| D1208 | Topical application of fluoride, excluding varnish | 23,185 | 22,990 | $332K |
| D0230 | Intraoral - periapical each additional radiographic image | 31,005 | 22,303 | $327K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 12,168 | 11,817 | $319K |
| D0274 | Bitewings - four radiographic images | 8,939 | 8,871 | $287K |
| D0220 | Intraoral - periapical first radiographic image | 23,653 | 23,343 | $270K |
| D0272 | Bitewings - two radiographic images | 10,201 | 10,130 | $227K |
| D9248 | 1,555 | 1,523 | $181K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 595 | 379 | $62K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,792 | 1,753 | $60K |
| D0210 | Intraoral - complete series of radiographic images | 850 | 835 | $51K |
| D2934 | 319 | 106 | $45K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 505 | 164 | $41K |
| D0330 | Panoramic radiographic image | 1,537 | 1,525 | $36K |
| D0160 | 2,146 | 2,112 | $31K | |
| D2330 | 358 | 230 | $26K | |
| D0140 | Limited oral evaluation - problem focused | 1,200 | 1,162 | $20K |
| D7111 | 1,098 | 816 | $12K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 103 | 58 | $6K |
| D2331 | 43 | 27 | $4K | |
| D9222 | 58 | 58 | $4K | |
| D1330 | 259 | 258 | $3K | |
| D7140 | Extraction, erupted tooth or exposed root | 29 | 15 | $2K |
| D9612 | 31 | 29 | $893.00 | |
| D0350 | 62 | 61 | $848.72 | |
| D0273 | 15 | 15 | $319.11 | |
| D0270 | 31 | 31 | $151.20 | |
| D0603 | 29,624 | 29,395 | $0.02 |