All Medicaid billing entities listing PARK, MATTHEW (CRNA) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Minnesota | 1 | $869K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | LUNA LAND DENTAL CORP. | WEST ST PAUL, MN | Dental Clinic/Center | $869K |