All Medicaid billing entities listing GUSTAFSON, DAVID (OWNER/DENTIST) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Utah | 1 | $87K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | SLPD COTTONWOOD LLC | COTTONWOOD HEIGHTS, UT | Pediatric Dentist | $87K |