All Medicaid billing entities listing MOODY, NICOL (OFFICE MANAGER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Arizona | 1 | $133K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | SEDONA INTEGRATIVE MEDICAL CLINIC, LLC | COTTONWOOD, AZ | Physical Therapist | $133K |