All Medicaid billing entities listing IDICULLA, AMI (PHYSICIAN) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Virginia | 1 | $62K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | NOVA FOOT AND ANKLE PLLC | HERNDON, VA | Foot & Ankle Surgery Podiatrist | $62K |