All Medicaid billing entities listing LARSEN, TRACY (OFFICE MANAGER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Idaho | 1 | $0.00 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | IDAHO FALLS DENTAL GROUP | IDAHO FALLS, ID | Dentist | $0.00 |