All Medicaid billing entities listing BOURG, DARRELL (DENTIST) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Louisiana | 3 | $42K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | EXCEPTIONAL DENTAL OF KENNER | KENNER, LA | Dental Clinic/Center | $28K |
| 2 | EXCEPTIONAL DENTAL OF METAIRIE, LLC | METAIRIE, LA | General Practice Dentistry | $9K |
| 3 | EXCEPTIONAL DENTAL OF MARRERO | MARRERO, LA | General Practice Dentistry | $5K |