All Medicaid billing entities listing WIEDERHOLD, PAUL (EXECUTIVE DIRECTOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Utah | 1 | $739K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | MAGELLAN ACADEMY, INC | SPANISH FORK, UT | Emotionally Disturbed Childrens' Residential Treatment Facility | $739K |