All Medicaid billing entities listing SUPRONO, MAVERN (PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| California | 1 | $21K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | MAVERN SUPRONO DDS INC | COLTON, CA | Dentist | $21K |