All Medicaid billing entities listing CHERRY, ELMER (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Idaho | 1 | $63K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | GRAND TETON DENTAL CARE | VICTOR, ID | Dental Clinic/Center | $63K |