All Medicaid billing entities listing KRUCKEBERG, SHANNON (EXECUTIVE DIRECTOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Minnesota | 1 | $154K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | HEALTHY SMILES, INC. | CLAREMONT, MN | Voluntary or Charitable Agency | $154K |