All Medicaid billing entities listing BROOM, REGGIE (PEDIATRIC DENTIST/OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Mississippi | 1 | $605.28 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | REGGIE H. BROOM, D.M.D., P.A. | GULFPORT, MS | Pediatric Dentist | $605.28 |