All Medicaid billing entities listing COFFEE, LOGAN (OWNER/DENTIST) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Oklahoma | 1 | $353K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | VIAN FAMILY DENTAL CLINIC, INC. | VIAN, OK | General Practice Dentistry | $353K |