All Medicaid billing entities listing PORTELA, JUAN (PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| New York | 1 | $153K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | SIMPLY SMILE DENTAL PC | GLENDALE, NY | Dentist | $153K |