Broussard, Mark

Broussard, Mark was paid $4K by Medicaid between Jul 2022 and Oct 2022, across 5 billing codes. Its largest line is D1120, dental cleaning, child — 32% of everything it billed.

33Billing provider infoBROUSSARD, MARK
CROWLEY, LA 70526

33aNPI1083783302assigned 11/08/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$4K

24GClaims150

24DCodes billed5

24AFirst – last monthJul 2022 – Oct 2022

Compared with peers

Next to other General Practice Dentistry providers in Louisiana

Rank by total paid#326 of 412

Median peer was paid$83K

This provider vs. median0.0×

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.

Box 24A · Dates of service

Paid by month

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

Year	Claims	Paid
2022	150	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	32%	37	36	$1K
D1208	Topical application of fluoride, excluding varnish	30%	59	58	$1K
D0150	Comprehensive oral evaluation - new or established patient	17%	15	14	$615.81
D0272	Bitewings - two radiographic images	13%	27	26	$492.89
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	8.2%	12	12	$299.64

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.