All Medicaid billing entities listing MATTOX, DESTINY (PRACTICE MANAGER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Arizona | 1 | $26K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | SKIN CONCIERGE, LLC. | TUCSON, AZ | Clinical & Laboratory Dermatological Immunology Physician | $26K |