All Medicaid billing entities listing CLARK, SHENELL (OFFICE MANAGER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Idaho | 1 | $21K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | ONEIDA FAMILY DENTAL LLC | MALAD CITY, ID | General Practice Dentistry | $21K |