All Medicaid billing entities listing GORIS, JACK (PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Indiana | 1 | $135.48 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | JACK E. GORIS D.D.S.,PC | LOGANSPORT, IN | General Practice Dentistry | $135.48 |