Dental
FM Katy Dental and Orthodontics, PLLC
FM Katy Dental and Orthodontics, PLLC was paid $8.87M by Medicaid between Feb 2018 and Dec 2024, across 36 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 16% of everything it billed.
33Billing provider infoFM KATY DENTAL AND ORTHODONTICS, PLLC
FORT WORTH, TX 76102
FORT WORTH, TX 76102
33aNPI1265839344assigned 12/04/2014
33bProvider typeDentist
28Total paid$8.87M
24GClaims272,408
24DCodes billed36
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#13 of 1,678
Median peer was paid$35K
This provider vs. median257×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official KOUYOUMDJIAN, RAFFY controls 19+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2018 | 135 | $573.30 | |
| 2019 | 113 | $886.21 | |
| 2020 | 7,017 | $217K | |
| 2021 | 59,847 | $1.97M | |
| 2022 | 72,310 | $2.35M | |
| 2023 | 70,616 | $2.31M | |
| 2024incomplete | 62,370 | $2.01M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 14,788 | 6,287 | $1.40M |
| D2930 | Prefabricated stainless steel crown - primary tooth | 14% | 9,205 | 1,694 | $1.27M |
| D1351 | Sealant - per tooth | 7.3% | 25,339 | 6,590 | $648K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.7% | 21,632 | 21,327 | $591K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.3% | 16,196 | 15,968 | $557K |
| D0145 | Oral evaluation for a patient under three years of age | 5.8% | 3,751 | 3,696 | $514K |
| D1110 | Prophylaxis - adult | 4.6% | 8,052 | 7,906 | $408K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.6% | 5,598 | 3,074 | $406K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.1% | 36,358 | 23,431 | $359K |
| D0274 | Bitewings - four radiographic images | 4.0% | 11,711 | 11,507 | $355K |
| D1208 | Topical application of fluoride, excluding varnish | 3.8% | 24,571 | 24,179 | $339K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.4% | 3,857 | 1,080 | $302K |
24 more codes
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 25,364 | $269K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.3% | 7,864 | $200K |
| D9248 | 2.2% | 1,813 | $197K | |
| D2934 | 1.9% | 1,180 | $165K | |
| D0272 | Bitewings - two radiographic images | 1.7% | 7,568 | $154K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.7% | 1,582 | $147K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 3,311 | $106K |
| D0210 | Intraoral - complete series of radiographic images | 1.1% | 1,514 | $99K |
| D0330 | Panoramic radiographic image | <1% | 2,724 | $83K |
| D7240 | Removal of impacted tooth - completely bony | <1% | 309 | $81K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 874 | $48K |
| D0160 | <1% | 3,271 | $46K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | <1% | 719 | $36K |
| D9222 | <1% | 292 | $21K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,077 | $19K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | <1% | 30 | $17K |
| D1330 | <1% | 1,560 | $16K | |
| D9612 | <1% | 282 | $8K | |
| D0367 | <1% | 14 | $2K | |
| D7111 | <1% | 52 | $562.03 | |
| D0270 | <1% | 111 | $494.90 | |
| D2940 | <1% | 21 | $244.65 | |
| D3910 | <1% | 19 | $89.60 | |
| D0603 | <1% | 29,799 | $0.24 |
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 officialKOUYOUMDJIAN, RAFFY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Rodeo Weslaco Dental & Orthodontics | Weslaco, TX | $14.00M |
| Rodeo Dental Pharr PLLC | Pharr, TX | $10.70M |
| Rodeo Dental San Benito, PLLC | San Benito, TX | $10.54M |
| Pasadena Dental & Orthodontics PLLC | South Houston, TX | $8.93M |
| Rodeo Dental Southmost PLLC | Brownsville, TX | $8.91M |
| Real Smiles | Fort Worth, TX | $7.68M |
| Elsa Dental and Orthodontics, PLLC | Fort Worth, TX | $7.40M |
| Rodeo Laredo Dental & Orthodontics, PLLC | Laredo, TX | $6.12M |
| Rodeo Dental Central PLLC | Brownsville, TX | $6.08M |
| Ruben Torres Dental, PLLC | Brownsville, TX | $5.21M |
| Waco Dental and Orthodontics, PLLC | Waco, TX | $2.19M |
| Cypress Point Dental and Orthodontics, PLLC | Houston, TX | $1.48M |
| Kirkwood Dental and Orthodontics, PLLC | Stafford, TX | $1.18M |
| Peoria ST. Dental and Orthodontics PLLC | Aurora, CO | $949K |
| Midland Dental and Orthodontics, PLLC | Midland, TX | $463K |
| Casa Grande Dental and Orthodontics LLC | Casa Grande, AZ | $199K |
| Phoenix Dental and Orthodontics, PLLC | Phoenix, AZ | $86K |
| Tucson Dental and Orthodontics | Tucson, AZ | $45K |
| 290 Crossing Dental and Orthodontics PLLC | Houston, TX | $16K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.