All Medicaid billing entities listing PRESCOTT, TANNER (DOCTOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Oklahoma | 1 | $392K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | SOUTH SOONER DENTAL PARTNERS | MOORE, OK | General Practice Dentistry | $392K |