All Medicaid billing entities listing MANSOUR, SAMER (DENTIST) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Pennsylvania | 1 | $16K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | LEGACY DENTAL LLC | ERIE, PA | Public Health Dentist | $16K |