Lillia Bolboli
NPI 1114601432ActiveIndividual· Dentist· Davenport, IA
Dentist in Davenport, Iowa, licensed in IA, with an NPI issued in June 2023. Enrolled in Medicare as practitioner - dentist. Ultradent Products Inc reported $112.99 in payments in 2024, mostly gifts.
Overview
| NPI | 1114601432 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 15, 2023 |
| Last updated in NPPES | Jun 15, 2023 |
| Certified by provider | Jun 15, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | DDS-10114 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Dentist (IA) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Dentist |
Industry payments (Open Payments)
- 2024$112.99 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Ultradent Products Inc | $112.99 | 1 |
What the 2024 payments were for
- Gift$112.99 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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