All Medicaid billing entities listing DIACOUMAKOS, GEORGE (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| New York | 1 | $744.00 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | 5TH AVENUE DENTAL ASSOC LLP | BROOKLYN, NY | Customized Equipment (DME) | $744.00 |