All Medicaid billing entities listing ELLIS, RENALLA (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Oklahoma | 1 | $8K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | IMPRESSIONS DENTAL | SHAWNEE, OK | General Practice Dentistry | $8K |