All Medicaid billing entities listing MODESTA, AMANDA (MEDICAL DIRECTOR /PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Arizona | 1 | $298K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | SHAFA MEDICAL CLINIC PC | PHOENIX, AZ | Clinic/Center | $298K |