All Medicaid billing entities listing CHAMPION, DERRICK (DENTIST/OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Tennessee | 1 | $148K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | CHAMPION DENTISTRY, LLC | LEBANON, TN | Dental Clinic/Center | $148K |