All Medicaid billing entities listing PRIBADI, AGUNG (CEO) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| California | 1 | $69K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | AGUNG PRIBADI DDS INC | LA HABRA, CA | General Practice Dentistry | $69K |