All Medicaid billing entities listing OLIVERSON, MARK (GENERAL DENTIST) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Idaho | 1 | $780.16 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | MARK S. OLIVERSON, D.M.D. | SALMON, ID | Dental Clinic/Center | $780.16 |