All Medicaid billing entities listing KHESHTCHIN, MANDANA (DENTIST) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Arizona | 1 | $345.90 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | A & N SUNVALLEY DENTAL CENTER, INC. | TEMPE, AZ | Exclusive Provider Organization | $345.90 |