All Medicaid billing entities listing PROVOAST, DEBRA (MANAGING OFFICER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Michigan | 1 | $193K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | NORTHRIDGE FAMILY PRACTICE LLC | HALE, MI | Internal Medicine Physician | $193K |