Based on public Medicaid payment data.
Raymond Eddie Broussard
Medicaid Provider in Rio Rancho, NM
Type
Individual Provider
Address
1724 Grande Blvd
Rio Rancho, NM 87124
Phone
5058960245
NPI
1558478560
Procedures
4
Total Claims
12.9K
Patients Served
10.9K
About these costs
All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.
Procedures & Average Costs
| Procedure | Avg. Paid | Claims | Patients |
|---|---|---|---|
| Dental Cleaning & Exam | $29.86 | 10,211 | 9,742 |
| Root Canal | $82.42 | 1,168 | 371 |
| Dental Filling | $57.49 | 1,077 | 559 |
| Tooth Extraction | $66.26 | 483 | 213 |
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