All Medicaid billing entities listing WICKIZER, KEITH (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| South Carolina | 1 | $64K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | ACUITY DENTISTRY AND ORTHODONTICS | SUMMERVILLE, SC | Dentist | $64K |