Way back in the day, Mamiya America maintained a Mamiya user forum.
In that forum, they had an FAQ section that dealt with using 220 backs - both for the RB67 and the 6x4.5 cameras - with 120 film.
As it is film rails that set the focus plane, not the pressure plate, there are no focus issues to worry about.
The concern relates to three issues:
1) the frame counter - there is nothing more disappointing than realizing that the last few shots you took would have been frames 13, 14, 15, 16 etc. on a 220 roll, if you hadn't forgotten that you have 120 loaded;
2) the narrower channel for the film (instead of a channel for film plus backing paper) means that there is more resistance, which leads to more wear on the back itself, including the film winding mechanism. That was identified as a real problem for high volume commercial users in particular; and (IIRC)
3) the narrower channel for the film (instead of a channel for film plus backing paper) and the lack of any protective backing paper means that if there is any debris in the way, the likelihood of the film being scratched is increased.
In my mind, #1 is by far the greatest concern.
Good luck in your search.