OXFORD DENTAL CLINIC
NPI: 1023107240
· OXFORD, MS 38655
· General Practice Dentistry
· NPI assigned 10/12/2006
$54.00
Total Medicaid Paid
Provider Details
| Authorized Official | PACE, HENRY (INSURANCE COORDINATOR) |
| NPI Enumeration Date | 10/12/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
82 |
$0.00 |
| 2020 |
73 |
$54.00 |
| 2021 |
130 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
131 |
52 |
$54.00 |
| D1120 |
Prophylaxis - child |
154 |
75 |
$0.00 |