All Medicaid billing entities listing BODE, SHAWN (SOLE MEMBER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Minnesota | 1 | $64K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | CROMWELL MEDICAL CLINIC PLLC | CROMWELL, MN | Primary Care Clinic/Center | $64K |