All Medicaid billing entities listing PANTOJA, FIDEL (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Texas | 1 | $43K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | MY OWN OPTICAL LLC | SAN ANTONIO, TX | Eyewear Supplier | $43K |