All Medicaid billing entities listing PETERSON, KENNETH (ORTHODONTIST) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| California | 1 | $67K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | KEN P OPTOMETRY CORP | PISMO BEACH, CA | Optometrist | $67K |