All Medicaid billing entities listing DIETER, JONATHAN (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| South Carolina | 1 | $849.15 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | COASTAL FAMILY MEDICINE | CONWAY, SC | Legal Medicine | $849.15 |