Dental
Tucson Dental and Orthodontics
Tucson Dental and Orthodontics was paid $45K by Medicaid between Dec 2023 and Dec 2024, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoTUCSON DENTAL AND ORTHODONTICS
TUCSON, AZ 85713
TUCSON, AZ 85713
33aNPI1649910944assigned 04/01/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$45K
24GClaims5,246
24DCodes billed18
24AFirst – last monthDec 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Arizona
Rank by total paid#108 of 530
Median peer was paid$920.17
This provider vs. median49×
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 | |
|---|---|---|---|
| 2023 | 264 | $970.47 | |
| 2024incomplete | 4,982 | $44K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 670 | 666 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 16% | 586 | 582 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 230 | 75 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 9.6% | 808 | 438 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 8.7% | 750 | 741 | $4K |
| D1354 | 6.0% | 331 | 106 | $3K | |
| D0330 | Panoramic radiographic image | 4.7% | 205 | 202 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 4.6% | 126 | 124 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 4.6% | 480 | 474 | $2K |
| D1351 | Sealant - per tooth | 3.8% | 320 | 94 | $2K |
| D1110 | Prophylaxis - adult | 3.5% | 107 | 103 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.8% | 198 | 194 | $1K |
6 more codes
| D0272 | Bitewings - two radiographic images | 2.4% | 221 | $1K |
| D0274 | Bitewings - four radiographic images | <1% | 66 | $397.60 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 71 | $397.46 |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 41 | $330.39 |
| D1206 | Topical application of fluoride varnish | <1% | 15 | $160.40 |
| D0350 | <1% | 21 | $22.94 |
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 |
| Rodeo Dental San Benito, PLLC | San Benito, TX | $10.54M |
| 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 |
| 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.