All Medicaid billing entities listing HENDRICKSON, NIELS (MANAGER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Utah | 1 | $13K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | SIMPLY WISDOM TEETH PLLC | SAINT GEORGE, UT | Dental Clinic/Center | $13K |