All Medicaid billing entities listing BLACK, LISA (COUNTY CLERK) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Maryland | 1 | $429K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | SUSANNE S. WALLENGREN, DDS, LLC | LUTHERVILLE, MD | Pediatric Dentist | $429K |