All Medicaid billing entities listing WALLACE, DUSTIN (OWNER/DENTIST) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Arkansas | 1 | $41K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | DW SMILES PLLC | MAUMELLE, AR | General Practice Dentistry | $41K |