Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Houston › NPI 1962264226
Dental

290 Crossing Dental and Orthodontics PLLC

290 Crossing Dental and Orthodontics PLLC was paid $16K by Medicaid between Oct 2024 and Dec 2024, across 11 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 23% of everything it billed.

33Billing provider info290 CROSSING DENTAL AND ORTHODONTICS PLLC
HOUSTON, TX 77040
33aNPI1962264226assigned 01/23/2024
28Total paid$16K
24GClaims911
24DCodes billed11
24AFirst – last monthOct 2024 – Dec 2024
Compared with peers

Next to other General Practice Dentistry providers in Texas

Rank by total paid#1,714 of 2,774
Median peer was paid$43K
This provider vs. median0.4×

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$5.0K$10K2018201920202021202220232024
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
2024incomplete911$16K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0150 Comprehensive oral evaluation - new or established patient 23% 116 116 $4K
D1120 Dental cleaning, childProphylaxis - child 19% 91 91 $3K
D0330 Panoramic radiographic image 14% 44 44 $2K
D0145 Oral evaluation for a patient under three years of age 11% 15 15 $2K
D0230 Intraoral - periapical each additional radiographic image 10.0% 219 97 $2K
D1208 Topical application of fluoride, excluding varnish 9.1% 117 117 $1K
D0220 Intraoral - periapical first radiographic image 4.6% 106 105 $750.22
D0210 Intraoral - complete series of radiographic images 4.4% 12 12 $706.40
D0272 Bitewings - two radiographic images 4.1% 38 38 $666.82
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 2.2% 13 13 $352.43
D0603 0% 140 139 $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

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.