All Medicaid billing entities listing BIRCH, JAYCIE (OFFICE MANAGER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Idaho | 1 | $107K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | IKDO STATE STREET LLC | GARDEN CITY, ID | Pediatric Dentist | $107K |