NPI: 1184076317 · BROWNSVILLE, TX 78526 · Dentist · NPI assigned 07/12/2016
Authorized official KOUYOUMDJIAN, RAFFY controls 19+ related entities in our dataset. Read more
| Authorized Official | KOUYOUMDJIAN, RAFFY (OWNER) |
| NPI Enumeration Date | 07/12/2016 |
Other providers sharing the same authorized official: KOUYOUMDJIAN, RAFFY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 240 | $4K |
| 2019 | 542 | $8K |
| 2020 | 4,521 | $113K |
| 2021 | 38,205 | $1.11M |
| 2022 | 42,449 | $1.33M |
| 2023 | 45,218 | $1.47M |
| 2024 | 39,216 | $1.18M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 4,434 | 1,081 | $633K |
| D0145 | Oral evaluation for a patient under three years of age | 4,361 | 4,343 | $607K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5,491 | 2,551 | $535K |
| D1351 | Sealant - per tooth | 18,282 | 4,596 | $482K |
| D0120 | Periodic oral evaluation - established patient | 13,747 | 13,644 | $385K |
| D1120 | Prophylaxis - child | 10,201 | 10,127 | $363K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3,909 | 2,374 | $293K |
| D0230 | Intraoral - periapical each additional radiographic image | 25,463 | 14,782 | $259K |
| D1110 | Prophylaxis - adult | 4,609 | 4,562 | $242K |
| D1208 | Topical application of fluoride, excluding varnish | 15,522 | 15,394 | $221K |
| D0274 | Bitewings - four radiographic images | 5,657 | 5,614 | $178K |
| D0220 | Intraoral - periapical first radiographic image | 15,847 | 15,664 | $173K |
| D9248 | 1,196 | 1,175 | $137K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5,230 | 5,099 | $135K |
| D0272 | Bitewings - two radiographic images | 5,506 | 5,473 | $113K |
| D7240 | Removal of impacted tooth - completely bony | 266 | 88 | $75K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 656 | 375 | $68K |
| D0210 | Intraoral - complete series of radiographic images | 1,005 | 993 | $62K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,824 | 1,783 | $60K |
| D2934 | 341 | 112 | $48K | |
| D0330 | Panoramic radiographic image | 1,517 | 1,506 | $40K |
| D0160 | 1,927 | 1,887 | $28K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 397 | 211 | $21K |
| D9222 | 215 | 211 | $16K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 164 | 68 | $14K |
| D0140 | Limited oral evaluation - problem focused | 754 | 736 | $13K |
| D7140 | Extraction, erupted tooth or exposed root | 101 | 78 | $5K |
| D7111 | 397 | 241 | $4K | |
| D9612 | 95 | 90 | $3K | |
| D0350 | 44 | 43 | $492.58 | |
| D1330 | 39 | 39 | $463.81 | |
| D0603 | 21,194 | 21,032 | $0.03 |