All Medicaid billing entities listing DIACON, GLEN (PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Oklahoma | 1 | $258K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | SOUTHERN OKLAHOMA UROLOGY, INC | ADA, OK | Medical Specialty Clinic/Center | $258K |