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Billing entities under PETTENGILL, KELLY
Every Medicaid billing NPI that lists PETTENGILL, KELLY (credentialing and data management) as its authorized official in NPPES: 4 entities in 1 state, paid $16K combined.
28Combined paid$16K
33Billing entities4
24GClaims740
States1
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 | Distinctive Eyewear, LLC | Maple Grove, MN | Optician | $13K |
| 2 | Distinctive Eyewear, LLC | Golden Valley, MN | Eyewear Supplier | $2K |
| 3 | Distinctive Eyewear, LLC | St. Anthony, MN | Optician | $701.43 |
| 4 | Distinctive Eyewear, LLC | Minnetonka, MN | Optician | $602.16 |