All Medicaid billing entities listing THELEN, TRACY (OFFICE MANAGER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| North Dakota | 1 | $658.50 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | KENMARE DENTAL CLINIC | KENMARE, ND | General Practice Dentistry | $658.50 |