All Medicaid billing entities listing KOTROB, MOUTAZ (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| California | 1 | $41K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | PURE SMILE DENTAL GROUP | SOUTH SAN FRANCISCO, CA | Dental Clinic/Center | $41K |