All Medicaid billing entities listing BULLOCK, DAVE (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Utah | 1 | $160.04 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | UTAH MODERN MEDICAL LLC | LEHI, UT | Medical Physician Assistant | $160.04 |