NPI: 1649447236 · FORT WORTH, TX 76119 · Dentist · NPI assigned 05/13/2008
Authorized official KOUYOUMDJIAN, RAFFY controls 19+ related entities in our dataset. Read more
| Authorized Official | KOUYOUMDJIAN, RAFFY (CEO) |
| NPI Enumeration Date | 05/13/2008 |
Other providers sharing the same authorized official: KOUYOUMDJIAN, RAFFY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 163 | $2K |
| 2019 | 186 | $2K |
| 2020 | 6,189 | $226K |
| 2021 | 52,900 | $1.74M |
| 2022 | 57,247 | $1.84M |
| 2023 | 64,201 | $2.15M |
| 2024 | 57,025 | $1.73M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13,093 | 5,819 | $1.26M |
| D2930 | Prefabricated stainless steel crown - primary tooth | 6,214 | 1,170 | $887K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 10,227 | 4,621 | $763K |
| D0145 | Oral evaluation for a patient under three years of age | 4,895 | 4,870 | $681K |
| D0120 | Periodic oral evaluation - established patient | 19,996 | 19,826 | $553K |
| D1120 | Prophylaxis - child | 14,152 | 14,010 | $495K |
| D1351 | Sealant - per tooth | 18,225 | 5,323 | $458K |
| D1110 | Prophylaxis - adult | 7,573 | 7,495 | $392K |
| D1208 | Topical application of fluoride, excluding varnish | 22,639 | 22,406 | $317K |
| D0230 | Intraoral - periapical each additional radiographic image | 26,816 | 22,307 | $278K |
| D0220 | Intraoral - periapical first radiographic image | 24,306 | 23,961 | $276K |
| D0274 | Bitewings - four radiographic images | 8,136 | 8,060 | $259K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 8,517 | 8,164 | $223K |
| D0272 | Bitewings - two radiographic images | 10,103 | 10,017 | $221K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1,649 | 570 | $133K |
| D9248 | 910 | 895 | $102K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2,460 | 2,414 | $82K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 896 | 394 | $45K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 384 | 249 | $38K |
| D0210 | Intraoral - complete series of radiographic images | 483 | 477 | $32K |
| D9222 | 403 | 396 | $29K | |
| D7140 | Extraction, erupted tooth or exposed root | 461 | 230 | $28K |
| D0140 | Limited oral evaluation - problem focused | 1,557 | 1,532 | $27K |
| D0160 | 1,693 | 1,648 | $24K | |
| D0330 | Panoramic radiographic image | 1,023 | 1,012 | $24K |
| D2934 | 144 | 43 | $20K | |
| D1330 | 1,654 | 1,613 | $18K | |
| D9612 | 287 | 282 | $8K | |
| D2330 | 50 | 26 | $4K | |
| D2950 | 32 | 26 | $1K | |
| D3910 | 32 | 25 | $143.36 | |
| D0270 | 16 | 16 | $73.50 | |
| D0603 | 28,885 | 28,651 | $0.02 |