All Medicaid billing entities listing JACOBSON, SAM (BUSINESS MANAGER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Minnesota | 1 | $3K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | F.H. RUSSOMANNO JR., D.D.S.. P.A., | OAKDALE, MN | Dental Clinic/Center | $3K |