All Medicaid billing entities listing RAYVONTI, TARA (ADMINISTRATION) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Idaho | 1 | $15K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | TOGETHER WE THRIVE LLC | PAUL, ID | Community/Behavioral Health Agency | $15K |