NPI: 1548611452 · LAREDO, TX 78040 · General Practice Dentistry · NPI assigned 06/22/2016
Authorized official KOUYOUMDJIAN, RAFFY controls 19+ related entities in our dataset. Read more
| Authorized Official | KOUYOUMDJIAN, RAFFY (OWNER) |
| NPI Enumeration Date | 06/22/2016 |
Other providers sharing the same authorized official: KOUYOUMDJIAN, RAFFY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 97 | $629.64 |
| 2019 | 871 | $13K |
| 2020 | 6,996 | $233K |
| 2021 | 40,417 | $1.21M |
| 2022 | 40,703 | $1.25M |
| 2023 | 54,324 | $1.84M |
| 2024 | 46,415 | $1.58M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 7,099 | 1,332 | $1.00M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7,222 | 2,949 | $692K |
| D0145 | Oral evaluation for a patient under three years of age | 4,693 | 4,640 | $647K |
| D1351 | Sealant - per tooth | 19,409 | 4,707 | $510K |
| D0120 | Periodic oral evaluation - established patient | 16,235 | 16,066 | $452K |
| D1120 | Prophylaxis - child | 12,509 | 12,379 | $438K |
| D1110 | Prophylaxis - adult | 5,236 | 5,162 | $269K |
| D0230 | Intraoral - periapical each additional radiographic image | 25,740 | 17,025 | $267K |
| D1208 | Topical application of fluoride, excluding varnish | 18,145 | 17,934 | $253K |
| D0274 | Bitewings - four radiographic images | 6,534 | 6,453 | $207K |
| D0220 | Intraoral - periapical first radiographic image | 18,079 | 17,827 | $205K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2,617 | 1,415 | $191K |
| D2934 | 1,275 | 382 | $175K | |
| D0272 | Bitewings - two radiographic images | 7,379 | 7,319 | $162K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1,984 | 569 | $158K |
| D9248 | 1,143 | 1,112 | $131K | |
| D0210 | Intraoral - complete series of radiographic images | 1,047 | 1,030 | $63K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,881 | 1,834 | $62K |
| D7240 | Removal of impacted tooth - completely bony | 145 | 46 | $41K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 786 | 388 | $36K |
| D0160 | 2,217 | 2,134 | $32K | |
| D9222 | 403 | 394 | $25K | |
| D0330 | Panoramic radiographic image | 876 | 863 | $21K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 771 | 739 | $20K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 154 | 92 | $15K |
| D1330 | 1,211 | 1,185 | $13K | |
| D0140 | Limited oral evaluation - problem focused | 612 | 606 | $11K |
| D2330 | 146 | 56 | $11K | |
| D7140 | Extraction, erupted tooth or exposed root | 148 | 71 | $9K |
| D9612 | 290 | 269 | $8K | |
| D0270 | 52 | 52 | $235.73 | |
| D0603 | 23,785 | 23,537 | $0.10 |