All Medicaid billing entities listing DORKHOM, JACK (MEMBER/OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| New York | 1 | $21K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | JACK M. DORKHOM, DMD, PLLC | PITTSFORD, NY | General Practice Dentistry | $21K |