All Medicaid billing entities listing MCDIVITT, OLIN (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| New York | 1 | $406.00 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | PORTVILLE DENTAL PLLC | PORTVILLE, NY | General Practice Dentistry | $406.00 |