All Medicaid billing entities listing WILSON, DWAYNE (OWNER/MANAGER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Virginia | 1 | $6.24M |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | MOMENTUM 180 LLC | NEWPORT NEWS, VA | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | $6.24M |