Dental
Broussard, Raymond
Broussard, Raymond was paid $73K by Medicaid between Jan 2018 and Dec 2020, across 13 billing codes. Its largest line is D1120, dental cleaning, child — 19% of everything it billed.
33Billing provider infoBROUSSARD, RAYMOND
RIO RANCHO, NM 87124
RIO RANCHO, NM 87124
33aNPI1558478560assigned 08/24/2006
33bProvider typeDentist
28Total paid$73K
24GClaims2,965
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Dentist providers in New Mexico
Rank by total paid#79 of 179
Median peer was paid$47K
This provider vs. median1.5×
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 | 2,029 | $54K | |
| 2019 | 895 | $18K | |
| 2020 | 41 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 453 | 453 | $14K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 17% | 104 | 28 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 276 | 276 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 456 | 456 | $8K |
| D0272 | Bitewings - two radiographic images | 10% | 362 | 358 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 6.8% | 499 | 493 | $5K |
| D0140 | Limited oral evaluation - problem focused | 6.8% | 171 | 166 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.8% | 466 | 459 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.2% | 99 | 99 | $2K |
| D9420 | 2.7% | 26 | 26 | $2K | |
| D7140 | Extraction, erupted tooth or exposed root | 2.7% | 28 | 13 | $2K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 12 | 12 | $626.81 |
1 more codes
| D0274 | Bitewings - four radiographic images | <1% | 13 | $392.34 |
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.