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Billing entities under BOULOS, SAMY
Every Medicaid billing NPI that lists BOULOS, SAMY (dentist (dds)) as its authorized official in NPPES: 1 entity in 1 state, paid $112K combined.
28Combined paid$112K
33Billing entities1
24GClaims2,692
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 | Boulos Dental Care, P.C. | Shoreview, MN | Exclusive Provider Organization | $112K |