All Medicaid billing entities listing KOCH, TRACEY (OFFICE MANAGER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Minnesota | 1 | $620.75 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | G2 DENTAL | FOREST LAKE, MN | Dentist | $620.75 |