All Medicaid billing entities listing VITA, BRIDGET (ADMINISTRATOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Louisiana | 1 | $485.53 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | MOAB LLC | SULPHUR, LA | Family Medicine Physician | $485.53 |