All Medicaid billing entities listing ELLIS, SHELLEY (PEDIATRIC DENTIST) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Mississippi | 1 | $8K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | MERIDIAN PEDIATRIC DENTAL GROUP, LLC | MERIDIAN, MS | Pediatric Dentist | $8K |