All Medicaid billing entities listing DAVIS, LAMONICA (PEDIATRIC DENTIST) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Mississippi | 1 | $1.14M |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | SMILES ON BROADWAY DENTAL CARE | JACKSON, MS | Pediatric Dentist | $1.14M |