All Medicaid billing entities listing MOODY, CHARLES (AUTHORIZED AGENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Louisiana | 1 | $5K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | 2707 LAF SNF LLC | LAFAYETTE, LA | Nurse Practitioner | $5K |