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Billing entities under PACKHAM, BRETT
Every Medicaid billing NPI that lists PACKHAM, BRETT (managing member) as its authorized official in NPPES: 2 entities in 1 state, paid $164K combined.
28Combined paid$164K
33Billing entities2
24GClaims6,474
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 | Kids Town Pediatric Dentistry | Layton, UT | Pediatric Dentist | $104K |
| 2 | Kids Town Pediatric Dentistry of Syracuse | Syracuse, UT | Pediatric Dentist | $59K |