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Billing entities under GUSTAFSON, JOHN
Every Medicaid billing NPI that lists GUSTAFSON, JOHN (owner) as its authorized official in NPPES: 1 entity in 1 state, paid $415.16 combined.
28Combined paid$415.16
33Billing entities1
24GClaims12
States1
Matched on the name exactly as typed into NPPES. Two different people with the same name will land on the same page.
Box 32 · Location
By state
Box 33 · Billing providers
All entities
| # | Provider | Location | Type | Paid |
|---|---|---|---|---|
| 1 | DR. John D. Gustafson, D.D.S., PA | Arlington, MN | Dentist | $415.16 |