All Medicaid billing entities listing KEITHLINE, CHARLES (MANAGING MEMBER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Oklahoma | 2 | $15.31M |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | PEDIATRIC DENTAL GROUP, LLC | TULSA, OK | Pediatric Dentist | $12.84M |
| 2 | OB DENTAL, LLC | TULSA, OK | General Practice Dentistry | $2.48M |