Dental
Pasadena Dental & Orthodontics PLLC
Pasadena Dental & Orthodontics PLLC was paid $8.93M by Medicaid between Jul 2018 and Dec 2024, across 32 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 15% of everything it billed.
33Billing provider infoPASADENA DENTAL & ORTHODONTICS PLLC
SOUTH HOUSTON, TX 77587
SOUTH HOUSTON, TX 77587
33aNPI1316324155assigned 04/30/2015
33bProvider typeDentist
28Total paid$8.93M
24GClaims274,264
24DCodes billed32
24AFirst – last monthJul 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#12 of 1,678
Median peer was paid$35K
This provider vs. median259×
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 | 233 | $7K | |
| 2019 | 126 | $2K | |
| 2020 | 7,712 | $282K | |
| 2021 | 57,731 | $1.92M | |
| 2022 | 67,170 | $2.12M | |
| 2023 | 76,181 | $2.45M | |
| 2024incomplete | 65,111 | $2.14M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 15% | 9,649 | 1,949 | $1.38M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 12,110 | 5,277 | $1.14M |
| D0145 | Oral evaluation for a patient under three years of age | 10.0% | 6,554 | 6,505 | $890K |
| D1351 | Sealant - per tooth | 8.4% | 28,996 | 7,804 | $753K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.8% | 17,503 | 17,258 | $604K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.7% | 21,705 | 21,440 | $598K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.1% | 36,008 | 23,155 | $362K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.1% | 4,966 | 2,857 | $362K |
| D1208 | Topical application of fluoride, excluding varnish | 3.8% | 24,447 | 24,121 | $338K |
| D1110 | Prophylaxis - adult | 3.7% | 6,479 | 6,403 | $331K |
| D0274 | Bitewings - four radiographic images | 3.1% | 9,000 | 8,894 | $281K |
| D0220 | Intraoral - periapical first radiographic image | 3.1% | 25,153 | 24,703 | $273K |
20 more codes
| D9248 | 2.9% | 2,243 | $257K | |
| D0272 | Bitewings - two radiographic images | 2.2% | 9,594 | $197K |
| D2934 | 2.1% | 1,320 | $191K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.1% | 7,304 | $184K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.6% | 1,776 | $142K |
| D0210 | Intraoral - complete series of radiographic images | 1.2% | 1,764 | $111K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.2% | 1,124 | $109K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 3,216 | $105K |
| D7240 | Removal of impacted tooth - completely bony | 1.0% | 358 | $94K |
| D0330 | Panoramic radiographic image | <1% | 1,981 | $55K |
| D0160 | <1% | 3,126 | $45K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 460 | $27K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | <1% | 473 | $25K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,405 | $24K |
| D1330 | <1% | 2,186 | $24K | |
| D9222 | <1% | 227 | $17K | |
| D9612 | <1% | 194 | $6K | |
| D1510 | <1% | 17 | $2K | |
| D7111 | <1% | 101 | $1K | |
| D0603 | <1% | 32,825 | $0.08 |
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 |
| Rodeo Dental Southmost PLLC | Brownsville, TX | $8.91M |
| FM Katy Dental and Orthodontics, PLLC | Fort Worth, TX | $8.87M |
| 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.