All Medicaid billing entities listing BASOM, BRYAN (OWNER/DENTIST) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Ohio | 1 | $1.37M |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | MAGNOLIA DENTAL | CHILLICOTHE, OH | General Practice Dentistry | $1.37M |