All Medicaid billing entities listing IBANEZ, CARLOS (PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Virginia | 1 | $204K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | CHARLOTTESVILLE ORAL SURGERY AND DENTAL IMPLANT CENTER, LLC | CHARLOTTESVILLE, VA | Oral and Maxillofacial Surgery (Dentist) | $204K |