All Medicaid billing entities listing BANNON, NATHANAEL (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Colorado | 1 | $1.30M |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | PREFERRED DENTAL | COLORADO SPRINGS, CO | Dentist | $1.30M |