All Medicaid billing entities listing SY, MOUSTAPHA (OWNER/DENTIST) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Oregon | 1 | $684.00 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | 5 STAR SMILES DENTISTRY | BEAVERTON, OR | Dentist | $684.00 |