All Medicaid billing entities listing IM, ELLEN (OWNER/OPERATOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| California | 1 | $25K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | ELLEN IM DDS INC | POWAY, CA | Orthodontics and Dentofacial Orthopedic Dentist | $25K |