All Medicaid billing entities listing BACA, DERRICK (GENERAL DENTIST) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| New Mexico | 1 | $22K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | DERRICK BACA DDS LLC | GRANTS, NM | General Practice Dentistry | $22K |