All Medicaid billing entities listing LICAUSE, DONNA (OFFICE MANAGER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Florida | 1 | $64K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | BRANDON FAMILY DENTAL CARE LLC | BRANDON, FL | General Practice Dentistry | $64K |