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Billing entities under MICKELSON, J
Every Medicaid billing NPI that lists MICKELSON, J (owner) as its authorized official in NPPES: 2 entities in 2 states, paid $6.55M combined.
28Combined paid$6.55M
33Billing entities2
24GClaims200,602
States2
Matched on the name exactly as typed into NPPES. Two different people with the same name will land on the same page.
Box 32 · Location
By state
Box 33 · Billing providers
All entities
| # | Provider | Location | Type | Paid |
|---|---|---|---|---|
| 1 | Smiles 4 Kids, LLC | Farmington, NM | General Practice Dentistry | $4.32M |
| 2 | Four Corners Smiles 4 Kids, INC. | Durango, CO | General Practice Dentistry | $2.23M |