All Medicaid billing entities listing EDMOND, DIANE (CREDENTIALING) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Connecticut | 1 | $12K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | ADVANCED DERMCARE PC | DANBURY, CT | Dermatology Physician | $12K |