All Medicaid billing entities listing DETHLOFF, ANDREW (OWNER/DENTIST) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Colorado | 1 | $164K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | WOODMOOR FAMILY DENTISTRY | MONUMENT, CO | Dental Clinic/Center | $164K |