All Medicaid billing entities listing FAGAN, LANCE (MANAGING MEMBER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Idaho | 2 | $168K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | KOOTENAI VISION, PLLC | COEUR D ALENE, ID | Optometrist | $168K |
| 2 | ST MARIES VISION CENTER, PLLC | ST MARIES, ID | Optometrist | $0.00 |