All Medicaid billing entities listing DETAR, THOMAS (OWNER/MEMBER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Idaho | 1 | $516K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | ST JOSEPHS EAR NOSE AND THROAT CLINIC PLLC | POST FALLS, ID | Specialist | $516K |