All Medicaid billing entities listing MATTINGLY, CODY (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Idaho | 1 | $73K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | ADD CLINIC OF IDAHO | MERIDIAN, ID | Family Nurse Practitioner | $73K |