All Medicaid billing entities listing DAVENPORT, DAVID (DELEGATED OFFICIAL) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Louisiana | 1 | $817.68 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | DOCTORS DENTAL 06, LLC | METAIRIE, LA | Dental Clinic/Center | $817.68 |