All Medicaid billing entities listing MOON, CHARLES (PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Missouri | 1 | $67K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | ADVANCED DERMATOLOGY OF SOUTHEAST MISSOURI PC | CAPE GIRARDEAU, MO | Dermatology Physician | $67K |