All Medicaid billing entities listing GAITAN, RICARDO (DENTAL) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Virginia | 2 | $7K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | DR. RICARDO GAITAN | STERLING, VA | Dental Clinic/Center | $6K |
| 2 | BOULEVARD DENTAL CLINIC | FAIRFAX, VA | Dental Clinic/Center | $519.09 |