All Medicaid billing entities listing BOURGOYNE, KATHY (OFFICE MANAGER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| South Carolina | 1 | $723K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | RIVERSIDE PEDIATRIC DENTISTRY LLC | FLORENCE, SC | Pediatric Dentist | $723K |