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Billing entities under BOETTNER, PAUL
Every Medicaid billing NPI that lists BOETTNER, PAUL (owner) as its authorized official in NPPES: 1 entity in 1 state, paid $514.80 combined.
28Combined paid$514.80
33Billing entities1
24GClaims16
States1
Matched on the name exactly as typed into NPPES. Two different people with the same name will land on the same page.
Box 32 · Location
By state
Box 33 · Billing providers
All entities
| # | Provider | Location | Type | Paid |
|---|---|---|---|---|
| 1 | PDB, DDS, PA | Maple Grove, MN | Dental Clinic/Center | $514.80 |