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Billing entities under PETERSON, RUSSELL
Every Medicaid billing NPI that lists PETERSON, RUSSELL (president of corp) as its authorized official in NPPES: 3 entities in 2 states, paid $1.09M combined.
28Combined paid$1.09M
33Billing entities3
24GClaims28,942
States2
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 | Dreamlife Destiny LLC | Maple Grove, MN | Home Health Agency | $986K |
| 2 | Randolph Medical Associates, PC | Roanoke, AL | Family Medicine Physician | $69K |
| 3 | Peterson Dental Associates, P.A. | St Cloud, MN | Dental Hygienist | $31K |