All Medicaid billing entities listing WHIDDON, JESSICA (EXECUTIVE DIRECTOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Colorado | 1 | $291.46 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | LAKE CITY DENTAL CLINIC | LAKE CITY, CO | Dental Clinic/Center | $291.46 |