All Medicaid billing entities listing LICOPANTIS, DEAN (PODIATRIST) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| New Jersey | 1 | $47K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | ANKLE & FOOT SURGERY, PA | DENVILLE, NJ | Podiatrist | $47K |