All Medicaid billing entities listing MOODY, AMY (DENTIST/SOLE MBR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Tennessee | 1 | $327K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | VISTA RIDGE DENTAL ARTS STUDIO, LLC | JOHNSON CITY, TN | Dental Clinic/Center | $327K |