All Medicaid billing entities listing WAGNER, STEPHEN (CEO-ADMINISTRATOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| New Mexico | 1 | $387.50 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | STEPHEN A. WAGNER DDS,PC | ALBUQUERQUE, NM | Dental Clinic/Center | $387.50 |