All Medicaid billing entities listing FONMEDIG, CLETUS (DIRECTOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Maryland | 1 | $13K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | CLETUS A FONMEDIG DDS LLC | ROSEDALE, MD | General Practice Dentistry | $13K |