NPI: 1598065872 · BROWNSVILLE, TX 78520 · Dentist · NPI assigned 11/02/2010
Authorized official KOUYOUMDJIAN, RAFFY controls 19+ related entities in our dataset. Read more
| Authorized Official | KOUYOUMDJIAN, RAFFY (OWNER) |
| NPI Enumeration Date | 11/02/2010 |
Other providers sharing the same authorized official: KOUYOUMDJIAN, RAFFY
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 272 | $4K |
| 2020 | 6,285 | $195K |
| 2021 | 46,507 | $1.43M |
| 2022 | 51,627 | $1.66M |
| 2023 | 54,252 | $1.67M |
| 2024 | 38,497 | $1.12M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7,245 | 3,753 | $697K |
| D1351 | Sealant - per tooth | 20,470 | 5,737 | $539K |
| D0145 | Oral evaluation for a patient under three years of age | 3,871 | 3,857 | $537K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3,659 | 864 | $528K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7,157 | 4,185 | $527K |
| D0120 | Periodic oral evaluation - established patient | 16,718 | 16,562 | $467K |
| D1120 | Prophylaxis - child | 10,279 | 10,174 | $364K |
| D1110 | Prophylaxis - adult | 6,762 | 6,691 | $352K |
| D7240 | Removal of impacted tooth - completely bony | 1,021 | 332 | $278K |
| D0230 | Intraoral - periapical each additional radiographic image | 26,625 | 17,396 | $264K |
| D1208 | Topical application of fluoride, excluding varnish | 17,776 | 17,600 | $250K |
| D0274 | Bitewings - four radiographic images | 6,742 | 6,682 | $204K |
| D0220 | Intraoral - periapical first radiographic image | 18,724 | 18,454 | $197K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6,835 | 6,580 | $176K |
| D0272 | Bitewings - two radiographic images | 7,206 | 7,145 | $150K |
| D9248 | 1,101 | 1,072 | $127K | |
| D0210 | Intraoral - complete series of radiographic images | 1,467 | 1,455 | $88K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 827 | 529 | $81K |
| D0330 | Panoramic radiographic image | 2,492 | 2,477 | $61K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,631 | 1,583 | $53K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 334 | 115 | $28K |
| D0160 | 1,922 | 1,853 | $27K | |
| D2934 | 174 | 56 | $24K | |
| D0140 | Limited oral evaluation - problem focused | 993 | 966 | $17K |
| D2330 | 197 | 125 | $14K | |
| D7111 | 897 | 595 | $10K | |
| D1330 | 862 | 856 | $9K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 137 | 77 | $7K |
| D9222 | 77 | 77 | $6K | |
| D2332 | 19 | 12 | $2K | |
| D0270 | 109 | 109 | $449.65 | |
| D0350 | 30 | 23 | $275.70 | |
| D0603 | 23,043 | 22,864 | $0.00 | |
| D3120 | 38 | 28 | $0.00 |