All Medicaid billing entities listing MICKELSON, J (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| New Mexico | 1 | $4.32M |
| Colorado | 1 | $2.23M |
| # | Provider | Location | Specialty | Total 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 |