All Medicaid billing entities listing SUMMERLIN, JACK (PRESIDENT MD) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Indiana | 2 | $48K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | ADVANCED DENTAL CARE OF FORTVILLE, LLC | FORTVILLE, IN | Dental Clinic/Center | $43K |
| 2 | ADVANCED DENTAL CARE OF SUMMERLIN PLACE | INDIANAPOLIS, IN | General Practice Dentistry | $5K |