All Medicaid billing entities listing PARK, TRACY (DENTIST/OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| California | 1 | $425K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | TRACY PARK D.D.S. A PROFESSIONAL CORPORATION | CERES, CA | Dental Clinic/Center | $425K |