NPI: 1396029781 · PHARR, TX 78577 · Dentist · NPI assigned 10/04/2011
Authorized official KOUYOUMDJIAN, RAFFY controls 19+ related entities in our dataset. Read more
| Authorized Official | KOUYOUMDJIAN, RAFFY (OWNER) |
| NPI Enumeration Date | 10/04/2011 |
Other providers sharing the same authorized official: KOUYOUMDJIAN, RAFFY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 239 | $2K |
| 2019 | 854 | $17K |
| 2020 | 9,246 | $280K |
| 2021 | 77,681 | $2.51M |
| 2022 | 88,494 | $2.79M |
| 2023 | 86,645 | $2.76M |
| 2024 | 70,744 | $2.35M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14,642 | 7,058 | $1.43M |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7,799 | 1,917 | $1.12M |
| D0145 | Oral evaluation for a patient under three years of age | 6,959 | 6,886 | $963K |
| D1351 | Sealant - per tooth | 34,009 | 10,088 | $881K |
| D0120 | Periodic oral evaluation - established patient | 28,983 | 28,787 | $814K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9,952 | 5,734 | $740K |
| D1120 | Prophylaxis - child | 19,654 | 19,527 | $700K |
| D1110 | Prophylaxis - adult | 10,084 | 9,984 | $532K |
| D0230 | Intraoral - periapical each additional radiographic image | 44,717 | 29,403 | $471K |
| D1208 | Topical application of fluoride, excluding varnish | 30,681 | 30,440 | $436K |
| D7240 | Removal of impacted tooth - completely bony | 1,451 | 492 | $395K |
| D0220 | Intraoral - periapical first radiographic image | 31,297 | 30,937 | $357K |
| D0274 | Bitewings - four radiographic images | 10,342 | 10,251 | $336K |
| D0272 | Bitewings - two radiographic images | 12,929 | 12,849 | $280K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 10,325 | 9,918 | $263K |
| D9248 | 2,351 | 2,280 | $262K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1,546 | 994 | $153K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1,587 | 653 | $129K |
| D0330 | Panoramic radiographic image | 2,249 | 2,234 | $74K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,869 | 1,833 | $62K |
| D0210 | Intraoral - complete series of radiographic images | 931 | 922 | $60K |
| D0160 | 3,819 | 3,704 | $54K | |
| D2934 | 321 | 118 | $47K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 440 | 196 | $25K |
| D0140 | Limited oral evaluation - problem focused | 1,336 | 1,302 | $23K |
| D7140 | Extraction, erupted tooth or exposed root | 374 | 235 | $22K |
| D1330 | 1,449 | 1,417 | $16K | |
| D9222 | 197 | 196 | $16K | |
| D7111 | 936 | 654 | $10K | |
| D2330 | 132 | 96 | $10K | |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 15 | 12 | $9K |
| D0350 | 692 | 675 | $7K | |
| D9612 | 91 | 86 | $3K | |
| D2332 | 20 | 13 | $3K | |
| D2940 | 17 | 14 | $279.60 | |
| D1206 | Topical application of fluoride varnish | 13 | 13 | $176.11 |
| D0270 | 13 | 13 | $58.80 | |
| D0603 | 39,681 | 39,371 | $0.22 |