Clinic
Rae A. Gauthier, DDS, LLC Dba Ponchatoula Family Dentistry
Rae A. Gauthier, DDS, LLC Dba Ponchatoula Family Dentistry was paid $209K by Medicaid between Jul 2018 and May 2021, across 13 billing codes. Its largest line is D1120, dental cleaning, child — 22% of everything it billed.
33Billing provider infoRAE A. GAUTHIER, DDS, LLC DBA PONCHATOULA FAMILY DENTISTRY
PONCHATOULA, LA 70454
PONCHATOULA, LA 70454
33aNPI1215446521assigned 09/29/2017
33bProvider typeDental Clinic/Center
28Total paid$209K
24GClaims7,105
24DCodes billed13
24AFirst – last monthJul 2018 – May 2021
Compared with peers
Next to other Dental Clinic/Center providers in Louisiana
Rank by total paid#26 of 59
Median peer was paid$90K
This provider vs. median2.3×
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 | |
|---|---|---|---|
| 2018 | 1,245 | $36K | |
| 2019 | 2,758 | $75K | |
| 2020 | 2,350 | $73K | |
| 2021 | 752 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 1,354 | 1,354 | $45K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 1,244 | 1,244 | $33K |
| D1208 | Topical application of fluoride, excluding varnish | 15% | 1,649 | 1,649 | $32K |
| D1110 | Prophylaxis - adult | 11% | 495 | 495 | $23K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 238 | 138 | $21K |
| D0272 | Bitewings - two radiographic images | 9.6% | 1,027 | 1,020 | $20K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.9% | 313 | 312 | $14K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.5% | 268 | 221 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 310 | 299 | $4K |
| D1351 | Sealant - per tooth | 1.8% | 120 | 41 | $4K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 24 | 24 | $1K |
| D0140 | Limited oral evaluation - problem focused | <1% | 51 | 51 | $705.00 |
1 more codes
| D0330 | Panoramic radiographic image | <1% | 12 | $684.60 |
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 officialGAUTHIER, RAE (OWNER/DENTIST)