LD-OXFORD, LLC
NPI: 1093374167
· OXFORD, MS 38655
· Dental Clinic/Center
· NPI assigned 06/11/2019
$696.00
Total Medicaid Paid
Provider Details
| Authorized Official | DAIGNEAULT, LAUREN (ADMINISTRATIVE DIRECTOR) |
| NPI Enumeration Date | 06/11/2019 |
Related Entities
Other providers sharing the same authorized official: DAIGNEAULT, LAUREN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
24 |
$696.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1206 |
Topical application of fluoride varnish |
24 |
24 |
$696.00 |