All Medicaid billing entities listing KOOISTRA, RALPH (PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Michigan | 1 | $5K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | ALPINE DENTAL GROUP, INC. | GAYLORD, MI | General Practice Dentistry | $5K |