All Medicaid billing entities listing MORTEL, TANYA (CREDENTIALING COORDINATOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Wisconsin | 1 | $0.00 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | ST. CROIX DENTAL HEALTH, LLC | WEBSTER, WI | General Practice Dentistry | $0.00 |