All Medicaid billing entities listing SOUTHWORTH, JEAN (BUSINESS ADMINISTRATOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Minnesota | 1 | $15K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | BLUESTONE ORAL AND MAXILLOFACIAL SURGERY, P.A. | DULUTH, MN | Oral and Maxillofacial Surgery (Dentist) | $15K |