NPI: 1881079267 · WESLACO, TX 78596 · Dentist · NPI assigned 07/27/2015
Authorized official KOUYOUMDJIAN, RAFFY controls 19+ related entities in our dataset. Read more
| Authorized Official | KOUYOUMDJIAN, RAFFY (OWNER) |
| NPI Enumeration Date | 07/27/2015 |
Other providers sharing the same authorized official: KOUYOUMDJIAN, RAFFY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 530 | $10K |
| 2019 | 1,075 | $27K |
| 2020 | 9,288 | $308K |
| 2021 | 92,425 | $3.07M |
| 2022 | 102,937 | $3.58M |
| 2023 | 105,696 | $3.74M |
| 2024 | 86,817 | $3.27M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 13,639 | 2,857 | $1.96M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 19,303 | 8,337 | $1.86M |
| D0145 | Oral evaluation for a patient under three years of age | 9,086 | 8,949 | $1.26M |
| D0120 | Periodic oral evaluation - established patient | 33,704 | 33,440 | $947K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 12,180 | 6,474 | $906K |
| D1120 | Prophylaxis - child | 24,225 | 24,024 | $868K |
| D1351 | Sealant - per tooth | 30,134 | 9,217 | $804K |
| D7240 | Removal of impacted tooth - completely bony | 2,463 | 768 | $682K |
| D1110 | Prophylaxis - adult | 10,790 | 10,676 | $567K |
| D0230 | Intraoral - periapical each additional radiographic image | 53,614 | 34,883 | $563K |
| D1208 | Topical application of fluoride, excluding varnish | 36,001 | 35,676 | $515K |
| D0220 | Intraoral - periapical first radiographic image | 37,431 | 36,911 | $424K |
| D9248 | 3,396 | 3,339 | $394K | |
| D0274 | Bitewings - four radiographic images | 12,103 | 12,001 | $389K |
| D0272 | Bitewings - two radiographic images | 15,722 | 15,580 | $342K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 12,922 | 12,393 | $338K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3,180 | 1,067 | $260K |
| D2934 | 1,477 | 522 | $209K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1,860 | 1,103 | $181K |
| D0210 | Intraoral - complete series of radiographic images | 1,556 | 1,540 | $98K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2,463 | 2,404 | $82K |
| D0330 | Panoramic radiographic image | 2,453 | 2,433 | $64K |
| D0160 | 4,408 | 4,320 | $63K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 792 | 342 | $41K |
| D0140 | Limited oral evaluation - problem focused | 1,882 | 1,833 | $32K |
| D7140 | Extraction, erupted tooth or exposed root | 572 | 285 | $31K |
| D2330 | 361 | 213 | $26K | |
| D1330 | 2,263 | 2,229 | $24K | |
| D9222 | 344 | 342 | $24K | |
| D2332 | 183 | 109 | $22K | |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 15 | 12 | $9K |
| D7111 | 685 | 437 | $8K | |
| D2331 | 39 | 30 | $3K | |
| D0350 | 196 | 195 | $2K | |
| D9612 | 73 | 72 | $2K | |
| D2940 | 51 | 41 | $594.15 | |
| D3910 | 35 | 30 | $179.20 | |
| D0603 | 47,167 | 46,685 | $0.23 |