All Medicaid billing entities listing DESILVA, SUJATHA (DENTIST) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| New York | 1 | $785.58 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | SUJATHA H DESILVA | PORT JERVIS, NY | General Practice Dentistry | $785.58 |