All Medicaid billing entities listing MAYLATH, GLEN (PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Michigan | 1 | $949.00 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | TOTAL DENTAL FITNESS | BLOOMFIELD HILLS, MI | General Practice Dentistry | $949.00 |