All Medicaid billing entities listing TAN, AYODALE (PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Pennsylvania | 1 | $124K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | CLASSIC OPTICAL INC. | PHILADELPHIA, PA | Optometrist | $124K |