All Medicaid billing entities listing EVALT, LEVI (DENTIST) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Pennsylvania | 2 | $79K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | AFFORDABLE SMILES OF CORRY | CORRY, PA | Dentist | $78K |
| 2 | AFFORDABLE SMILES INC. | CORRY, PA | Dentist | $778.00 |