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

Rodeo Dental Pharr PLLC

Rodeo Dental Pharr PLLC was paid $10.70M by Medicaid between Jun 2018 and Dec 2024, across 38 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 13% of everything it billed.

33Billing provider infoRODEO DENTAL PHARR PLLC
PHARR, TX 78577
33aNPI1396029781assigned 10/04/2011
33bProvider typeDentist
28Total paid$10.70M
24GClaims333,903
24DCodes billed38
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers

Next to other Dentist providers in Texas

Rank by total paid#9 of 1,678
Median peer was paid$35K
This provider vs. median310×

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$200K$400K2018201920202021202220232024
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
2018239$2K
2019854$17K
20209,246$280K
202177,681$2.51M
202288,494$2.79M
202386,645$2.76M
2024incomplete70,744$2.35M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 13% 14,642 7,058 $1.43M
D2930 Prefabricated stainless steel crown - primary tooth 11% 7,799 1,917 $1.12M
D0145 Oral evaluation for a patient under three years of age 9.0% 6,959 6,886 $963K
D1351 Sealant - per tooth 8.2% 34,009 10,088 $881K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 7.6% 28,983 28,787 $814K
D2391 Resin-based composite - one surface, posterior, primary or permanent 6.9% 9,952 5,734 $740K
D1120 Dental cleaning, childProphylaxis - child 6.5% 19,654 19,527 $700K
D1110 Prophylaxis - adult 5.0% 10,084 9,984 $532K
D0230 Intraoral - periapical each additional radiographic image 4.4% 44,717 29,403 $471K
D1208 Topical application of fluoride, excluding varnish 4.1% 30,681 30,440 $436K
D7240 Removal of impacted tooth - completely bony 3.7% 1,451 492 $395K
D0220 Intraoral - periapical first radiographic image 3.3% 31,297 30,937 $357K
26 more codes
D0274 Bitewings - four radiographic images 3.1% 10,342 $336K
D0272 Bitewings - two radiographic images 2.6% 12,929 $280K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 2.5% 10,325 $263K
D9248 2.4% 2,351 $262K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 1.4% 1,546 $153K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 1.2% 1,587 $129K
D0330 Panoramic radiographic image <1% 2,249 $74K
D0150 Comprehensive oral evaluation - new or established patient <1% 1,869 $62K
D0210 Intraoral - complete series of radiographic images <1% 931 $60K
D0160 <1% 3,819 $54K
D2934 <1% 321 $47K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment <1% 440 $25K
D0140 Limited oral evaluation - problem focused <1% 1,336 $23K
D7140 Extraction, erupted tooth or exposed root <1% 374 $22K
D1330 <1% 1,449 $16K
D9222 <1% 197 $16K
D7111 <1% 936 $10K
D2330 <1% 132 $10K
D3330 Endodontic therapy, molar tooth (excluding final restoration) <1% 15 $9K
D0350 <1% 692 $7K
D9612 <1% 91 $3K
D2332 <1% 20 $3K
D2940 <1% 17 $279.60
D1206 Topical application of fluoride varnish <1% 13 $176.11
D0270 <1% 13 $58.80
D0603 <1% 39,681 $0.22

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.