All Medicaid billing entities listing KIM, NICKOLAS (DENTIST) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Texas | 1 | $415K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | BOUYEAN DENTISTRY PLLC | FORT STOCKTON, TX | General Practice Dentistry | $415K |