All Medicaid billing entities listing LACKEY, JUSTIN (FRONT OFFICE) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Alabama | 1 | $464K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | GARDENDALE ORAL SURGERY, P.C. | GARDENDALE, AL | Oral and Maxillofacial Surgery (Dentist) | $464K |