All Medicaid billing entities listing KELLY, W DAVID (MEMBER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Massachusetts | 1 | $112K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | CROMPTON PARK ORAL SURGERY AND IMPLANT ASSOCIATES, LLC | WORCESTER, MA | Oral and Maxillofacial Surgery (Dentist) | $112K |