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Billing entities under OLIVERSON, MARK
Every Medicaid billing NPI that lists OLIVERSON, MARK (general dentist) as its authorized official in NPPES: 1 entity in 1 state, paid $780.16 combined.
28Combined paid$780.16
33Billing entities1
24GClaims114
States1
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 | Mark S. Oliverson, D.M.D. | Salmon, ID | Dental Clinic/Center | $780.16 |