All Medicaid billing entities listing TALL, MARK (PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Idaho | 1 | $9K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | MADISON PARK DENTAL CENTER | REXBURG, ID | General Practice Dentistry | $9K |