All Medicaid billing entities listing DATIKASHVILI, LIA (PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| New York | 1 | $819K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | GLAD DENTAL P.C. | BRONX, NY | General Practice Dentistry | $819K |