All Medicaid billing entities listing BROUSSARD, RAYMOND (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| New Mexico | 1 | $240K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | WESTSIDE PEDIATRIC DENTISTRY | RIO RANCHO, NM | Pediatric Dentist | $240K |