All Medicaid billing entities listing SIDEMAN, BENNETT (DIRECTOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| New Jersey | 1 | $40K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | EASTERN DENTAL OF NORTHFIELD, LLC | NORTHFIELD, NJ | General Practice Dentistry | $40K |