All Medicaid billing entities listing MOON, BETTY (PRACTICE ADMINISTRATOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Oklahoma | 1 | $787K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | MEDICAL CENTER PAIN CLINIC, LLC | OKLAHOMA CITY, OK | Interventional Pain Medicine Physician | $787K |