All Medicaid billing entities listing BENNE, MARTI (OFFICE MANANGER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Indiana | 1 | $19K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | ANTHONY DICOSTANZO DDS PC | DYER, IN | General Practice Dentistry | $19K |