All Medicaid billing entities listing LAO, DOMINADOR (PHYSICIAN) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| West Virginia | 1 | $1K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | APPALACHIAN HIGHWAY MEDICAL & SURGICAL CLINIC, PLLC | PINEVILLE, WV | Multi-Specialty Clinic/Center | $1K |