All Medicaid billing entities listing GORANTLA, PAVAN (MANAGER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Wisconsin | 1 | $4.37M |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | SWEET SMILES GRAFTON LLC | GRAFTON, WI | General Practice Dentistry | $4.37M |