All Medicaid billing entities listing TELLEZ, IVONNE (ENROLLMENT TEAM LEAD) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Wisconsin | 1 | $5.88M |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | FAMILIA DENTAL MADISON EAST LLC | MADISON, WI | General Practice Dentistry | $5.88M |