All Medicaid billing entities listing KETCHERSIDE, HOMER (PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| California | 1 | $41K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | KETCHERSIDE DENTAL CORPORATION | CORONA, CA | Orthodontics and Dentofacial Orthopedic Dentist | $41K |