All Medicaid billing entities listing JOHANSEN, R (DOCTOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Utah | 1 | $278.72 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | JORDAN LANDING PEDIATRICS | WEST JORDAN, UT | Periodontist | $278.72 |