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

Rodeo Dental Central PLLC

Rodeo Dental Central PLLC was paid $6.08M by Medicaid between Aug 2019 and Dec 2024, across 34 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 11% of everything it billed.

33Billing provider infoRODEO DENTAL CENTRAL PLLC
BROWNSVILLE, TX 78520
33aNPI1598065872assigned 11/02/2010
33bProvider typeDentist
28Total paid$6.08M
24GClaims197,440
24DCodes billed34
24AFirst – last monthAug 2019 – Dec 2024
Compared with peers

Next to other Dentist providers in Texas

Rank by total paid#28 of 1,678
Median peer was paid$35K
This provider vs. median176×

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$100K$200K$300K2018201920202021202220232024
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
2019272$4K
20206,285$195K
202146,507$1.43M
202251,627$1.66M
202354,252$1.67M
2024incomplete38,497$1.12M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 11% 7,245 3,753 $697K
D1351 Sealant - per tooth 8.9% 20,470 5,737 $539K
D0145 Oral evaluation for a patient under three years of age 8.8% 3,871 3,857 $537K
D2930 Prefabricated stainless steel crown - primary tooth 8.7% 3,659 864 $528K
D2391 Resin-based composite - one surface, posterior, primary or permanent 8.7% 7,157 4,185 $527K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 7.7% 16,718 16,562 $467K
D1120 Dental cleaning, childProphylaxis - child 6.0% 10,279 10,174 $364K
D1110 Prophylaxis - adult 5.8% 6,762 6,691 $352K
D7240 Removal of impacted tooth - completely bony 4.6% 1,021 332 $278K
D0230 Intraoral - periapical each additional radiographic image 4.3% 26,625 17,396 $264K
D1208 Topical application of fluoride, excluding varnish 4.1% 17,776 17,600 $250K
D0274 Bitewings - four radiographic images 3.3% 6,742 6,682 $204K
22 more codes
D0220 Intraoral - periapical first radiographic image 3.2% 18,724 $197K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 2.9% 6,835 $176K
D0272 Bitewings - two radiographic images 2.5% 7,206 $150K
D9248 2.1% 1,101 $127K
D0210 Intraoral - complete series of radiographic images 1.5% 1,467 $88K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 1.3% 827 $81K
D0330 Panoramic radiographic image 1.0% 2,492 $61K
D0150 Comprehensive oral evaluation - new or established patient <1% 1,631 $53K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction <1% 334 $28K
D0160 <1% 1,922 $27K
D2934 <1% 174 $24K
D0140 Limited oral evaluation - problem focused <1% 993 $17K
D2330 <1% 197 $14K
D7111 <1% 897 $10K
D1330 <1% 862 $9K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment <1% 137 $7K
D9222 <1% 77 $6K
D2332 <1% 19 $2K
D0270 <1% 109 $449.65
D0350 <1% 30 $275.70
D0603 0% 23,043 $0.00
D3120 0% 38 $0.00

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.