290 CROSSING DENTAL AND ORTHODONTICS PLLC

NPI: 1962264226 · HOUSTON, TX 77040 · General Practice Dentistry · NPI assigned 01/23/2024

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official KOUYOUMDJIAN, RAFFY controls 19+ related entities in our dataset. Read more

$16K

Total Medicaid Paid

911

Total Claims

787

Beneficiaries

Codes Billed

2024-10

First Month

2024-12

Last Month

Provider Details

Authorized Official	KOUYOUMDJIAN, RAFFY (OWNER)
NPI Enumeration Date	01/23/2024

Other providers sharing the same authorized official: KOUYOUMDJIAN, RAFFY

Provider	City	State	Total 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
TUCSON DENTAL AND ORTHODONTICS	TUCSON	AZ	$45K

Year	Claims	Total Paid
2024	911	$16K

Code	Description	Claims	Beneficiaries	Total Paid
D0150	Comprehensive oral evaluation - new or established patient	116	116	$4K
D1120	Prophylaxis - child	91	91	$3K
D0330	Panoramic radiographic image	44	44	$2K
D0145	Oral evaluation for a patient under three years of age	15	15	$2K
D0230	Intraoral - periapical each additional radiographic image	219	97	$2K
D1208	Topical application of fluoride, excluding varnish	117	117	$1K
D0220	Intraoral - periapical first radiographic image	106	105	$750.22
D0210	Intraoral - complete series of radiographic images	12	12	$706.40
D0272	Bitewings - two radiographic images	38	38	$666.82
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	13	13	$352.43
D0603		140	139	$0.00