Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Phoenix Dental and Orthodontics, PLLC

Phoenix Dental and Orthodontics, PLLC was paid $86K by Medicaid between Feb 2024 and Dec 2024, across 20 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 18% of everything it billed.

33Billing provider infoPHOENIX DENTAL AND ORTHODONTICS, PLLC
PHOENIX, AZ 85043
33aNPI1326760737assigned 09/13/2022
28Total paid$86K
24GClaims7,476
24DCodes billed20
24AFirst – last monthFeb 2024 – Dec 2024
Compared with peers

Next to other General Practice Dentistry providers in Arizona

Rank by total paid#84 of 530
Median peer was paid$920.17
This provider vs. median93×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2024incomplete7,476$86K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 18% 534 270 $16K
D1120 Dental cleaning, childProphylaxis - child 12% 770 763 $11K
D0150 Comprehensive oral evaluation - new or established patient 11% 673 667 $9K
D0330 Panoramic radiographic image 7.5% 462 458 $6K
D0230 Intraoral - periapical each additional radiographic image 7.2% 1,039 624 $6K
D1208 Topical application of fluoride, excluding varnish 6.5% 844 837 $6K
D1351 Sealant - per tooth 6.3% 648 242 $5K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 5.8% 137 79 $5K
D0220 Intraoral - periapical first radiographic image 4.9% 772 759 $4K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3.4% 96 66 $3K
D0274 Bitewings - four radiographic images 2.9% 270 268 $2K
D0272 Bitewings - two radiographic images 2.8% 308 303 $2K
8 more codes
D1110 Prophylaxis - adult 2.6% 147 $2K
D1354 2.2% 222 $2K
D0140 Limited oral evaluation - problem focused 1.9% 123 $2K
D0120 Dental checkup, returning patient 1.9% 177 $2K
D0145 Oral evaluation for a patient under three years of age 1.0% 78 $869.62
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 59 $574.27
D1206 Topical application of fluoride varnish <1% 80 $488.92
D1353 <1% 37 $136.45

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)
Same official

Other billing entities under KOUYOUMDJIAN, RAFFY

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.