All Medicaid billing entities listing COSTES, MARK (OWNER DENTIST) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Arizona | 1 | $15K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | HORIZON DENTAL GROUP LLC | CHINO VALLEY, AZ | General Practice Dentistry | $15K |