All Medicaid billing entities listing SCOVILLE, ANDREA (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Oklahoma | 1 | $738.29 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | ANDREA MATLI SCOVILLE DDS PC | WATONGA, OK | Orthodontics and Dentofacial Orthopedic Dentist | $738.29 |