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Billing entities under WIETH, CASSANDRA
Every Medicaid billing NPI that lists WIETH, CASSANDRA (payor relations manager) as its authorized official in NPPES: 4 entities in 3 states, paid $2.30M combined.
28Combined paid$2.30M
33Billing entities4
24GClaims101,219
States3
Matched on the name exactly as typed into NPPES. Two different people with the same name will land on the same page.
Box 32 · Location
By state
Box 33 · Billing providers
All entities
| # | Provider | Location | Type | Paid |
|---|---|---|---|---|
| 1 | JMJ Practice Holdings, LLC | Nampa, ID | Pediatric Dentist | $1.09M |
| 2 | Sdcaz LLC | Phoenix, AZ | Pediatric Dentist | $969K |
| 3 | Nicholas Raklios, DDS, PLLC | Renton, WA | Orthodontics and Dentofacial Orthopedic Dentist | $171K |
| 4 | JMJ Practice Holdings, LLC | Nampa, ID | Orthodontics and Dentofacial Orthopedic Dentist | $73K |