All Medicaid billing entities listing WIDODO, ANDRE (DENTIST / OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| California | 3 | $1000K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | WIDODO & LEE DDS A PROFESSIONAL DENTAL CORP | POMONA, CA | Dental Clinic/Center | $609K |
| 2 | LEE & WIDODO DDS INC | CHINO, CA | Dental Clinic/Center | $234K |
| 3 | ANDRE WIDODO DDS A PROFESSIONAL CORPORATION | EL MONTE, CA | Dental Clinic/Center | $157K |