All Medicaid billing entities listing DO, TIEN (MEMBER/OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Massachusetts | 1 | $27K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | MEDFORD MAIN STREET DENTAL P.C. | MEDFORD, MA | Dentist | $27K |