All Medicaid billing entities listing BANTA, SHELLY (OFFICE MANAGER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Oregon | 1 | $412.48 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | MICHAEL P. GARDNER, MD PC | TUALATIN, OR | Urology Physician | $412.48 |