All Medicaid billing entities listing COSTLEY, JERRY (EXECUTIVE DIRECTOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Utah | 3 | $1.25M |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | DE NOVO SERVICES LLC | SALT LAKE CITY, UT | Addiction (Substance Use Disorder) Counselor | $918K |
| 2 | DISABLED RIGHTS ACTION COMMITTEE | SALT LAKE CITY, UT | Voluntary or Charitable Agency | $228K |
| 3 | METAMORPHOSIS SALT LAKE CITY, INC. | SALT LAKE CITY, UT | Methadone Clinic | $102K |