NPI: 1316324155 · SOUTH HOUSTON, TX 77587 · Dentist · NPI assigned 04/30/2015
Authorized official KOUYOUMDJIAN, RAFFY controls 19+ related entities in our dataset. Read more
| Authorized Official | KOUYOUMDJIAN, RAFFY (OWNER) |
| NPI Enumeration Date | 04/30/2015 |
Other providers sharing the same authorized official: KOUYOUMDJIAN, RAFFY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 233 | $7K |
| 2019 | 126 | $2K |
| 2020 | 7,712 | $282K |
| 2021 | 57,731 | $1.92M |
| 2022 | 67,170 | $2.12M |
| 2023 | 76,181 | $2.45M |
| 2024 | 65,111 | $2.14M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 9,649 | 1,949 | $1.38M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12,110 | 5,277 | $1.14M |
| D0145 | Oral evaluation for a patient under three years of age | 6,554 | 6,505 | $890K |
| D1351 | Sealant - per tooth | 28,996 | 7,804 | $753K |
| D1120 | Prophylaxis - child | 17,503 | 17,258 | $604K |
| D0120 | Periodic oral evaluation - established patient | 21,705 | 21,440 | $598K |
| D0230 | Intraoral - periapical each additional radiographic image | 36,008 | 23,155 | $362K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4,966 | 2,857 | $362K |
| D1208 | Topical application of fluoride, excluding varnish | 24,447 | 24,121 | $338K |
| D1110 | Prophylaxis - adult | 6,479 | 6,403 | $331K |
| D0274 | Bitewings - four radiographic images | 9,000 | 8,894 | $281K |
| D0220 | Intraoral - periapical first radiographic image | 25,153 | 24,703 | $273K |
| D9248 | 2,243 | 2,213 | $257K | |
| D0272 | Bitewings - two radiographic images | 9,594 | 9,456 | $197K |
| D2934 | 1,320 | 498 | $191K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 7,304 | 6,946 | $184K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1,776 | 686 | $142K |
| D0210 | Intraoral - complete series of radiographic images | 1,764 | 1,739 | $111K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1,124 | 663 | $109K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3,216 | 3,126 | $105K |
| D7240 | Removal of impacted tooth - completely bony | 358 | 102 | $94K |
| D0330 | Panoramic radiographic image | 1,981 | 1,938 | $55K |
| D0160 | 3,126 | 3,067 | $45K | |
| D7140 | Extraction, erupted tooth or exposed root | 460 | 280 | $27K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 473 | 220 | $25K |
| D0140 | Limited oral evaluation - problem focused | 1,405 | 1,369 | $24K |
| D1330 | 2,186 | 2,166 | $24K | |
| D9222 | 227 | 221 | $17K | |
| D9612 | 194 | 187 | $6K | |
| D1510 | 17 | 12 | $2K | |
| D7111 | 101 | 60 | $1K | |
| D0603 | 32,825 | 32,397 | $0.08 |