All Medicaid billing entities listing WILSON, GREGG (DENTIST/CEO) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Idaho | 1 | $616.75 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | WILSON DENTAL PLLC | BOISE, ID | Dental Clinic/Center | $616.75 |