All Medicaid billing entities listing LACOURT, FRED (DENTIST) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| New Mexico | 1 | $62K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | PROFESSIONAL DENTAL CARE OF NORTHERN NEW MEXICO I PROFESSIONAL | SANTA FE, NM | General Practice Dentistry | $62K |