All Medicaid billing entities listing DAVIS, BRENDEN (CEO) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Washington | 1 | $669K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | NORTHWEST ORAL HEALTH OUTREACH LLC | ELLENSBURG, WA | Dental Clinic/Center | $669K |