Dental
Rodeo Dental San Benito, PLLC
Rodeo Dental San Benito, PLLC was paid $10.54M by Medicaid between Jun 2018 and Dec 2024, across 33 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 SAN BENITO, PLLC
SAN BENITO, TX 78586
SAN BENITO, TX 78586
33aNPI1528350782assigned 05/06/2011
33bProvider typeEndodontist
28Total paid$10.54M
24GClaims334,499
24DCodes billed33
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers
Next to other Endodontist providers in Texas
Rank by total paid#1 of 57
Median peer was paid$845K
This provider vs. median12×
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 | 272 | $2K | |
| 2019 | 659 | $14K | |
| 2020 | 10,288 | $328K | |
| 2021 | 78,550 | $2.47M | |
| 2022 | 83,327 | $2.54M | |
| 2023 | 90,913 | $3.04M | |
| 2024incomplete | 70,490 | $2.15M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 14,404 | 6,505 | $1.34M |
| D2930 | Prefabricated stainless steel crown - primary tooth | 11% | 8,198 | 2,120 | $1.17M |
| D0145 | Oral evaluation for a patient under three years of age | 8.9% | 6,725 | 6,695 | $936K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.7% | 13,057 | 6,032 | $919K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.8% | 29,324 | 29,003 | $818K |
| D1351 | Sealant - per tooth | 7.5% | 30,820 | 8,960 | $794K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.2% | 18,606 | 18,368 | $658K |
| D1110 | Prophylaxis - adult | 5.3% | 10,654 | 10,544 | $557K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.7% | 48,866 | 29,780 | $491K |
| D1208 | Topical application of fluoride, excluding varnish | 4.0% | 30,001 | 29,639 | $423K |
| D0274 | Bitewings - four radiographic images | 3.9% | 13,538 | 13,393 | $406K |
| D0220 | Intraoral - periapical first radiographic image | 3.2% | 31,538 | 31,065 | $339K |
21 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.5% | 10,293 | $265K |
| D2934 | 2.0% | 1,568 | $215K | |
| D0272 | Bitewings - two radiographic images | 2.0% | 10,101 | $208K |
| D7240 | Removal of impacted tooth - completely bony | 1.8% | 694 | $188K |
| D9248 | 1.7% | 1,582 | $183K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.2% | 1,279 | $122K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 1,640 | $97K |
| D0330 | Panoramic radiographic image | <1% | 3,516 | $97K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 1,086 | $88K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | <1% | 840 | $44K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,357 | $44K |
| D0160 | <1% | 2,855 | $41K | |
| D9222 | <1% | 451 | $33K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,308 | $23K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 141 | $8K |
| D7111 | <1% | 663 | $7K | |
| D2330 | <1% | 117 | $7K | |
| D9612 | <1% | 221 | $6K | |
| D1330 | <1% | 161 | $2K | |
| D0270 | <1% | 133 | $575.26 | |
| D0603 | <1% | 38,762 | $0.05 |
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 |
| Pasadena Dental & Orthodontics PLLC | South Houston, TX | $8.93M |
| 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.