All Medicaid billing entities listing MOHEBAN, MANSOUR (PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Massachusetts | 1 | $30K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | M MOHEBAN DMD PC | NORTHBOROUGH, MA | General Practice Dentistry | $30K |