All Medicaid billing entities listing MITIC, IVANA (GROUP OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Maryland | 1 | $8K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | BALTIMORE KETAMINE CLINIC | SPARKS GLENCOE, MD | Infusion Therapy Clinic/Center | $8K |