All Medicaid billing entities listing DAVIS, THEODORE (DENTIST) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| New Jersey | 1 | $231.00 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | CLINTON HILL DENTAL ASSOC | NEWARK, NJ | Dental Clinic/Center | $231.00 |