All Medicaid billing entities listing FANDRICH, JESSICALEE (CREDENTIALING MANGER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Montana | 1 | $350K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | INTERCITY RADIOLOGY, PC | BOZEMAN, MT | Specialist | $350K |