All Medicaid billing entities listing WAGNER, NICHOLAS (DENTIST/OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Indiana | 1 | $1K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | NICHOLAS J WAGNER, DDS, LLC | BOONVILLE, IN | Dentist | $1K |