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LSU HEALTH SCIENCES CENTER LSU FACULTY DENTAL PRACTICE
LSU HEALTH SCIENCES CENTER LSU FACULTY DENTAL PRACTICE
NPI: 1528280641
· METAIRIE, LA 70006
· Pediatric Dentist
· NPI assigned 05/02/2007
$630.36
Total Medicaid Paid
Provider Details
| Authorized Official | OSBURN, CHRISTINE (ASSISTANT OFFICE MANAGER) |
| NPI Enumeration Date | 05/02/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
25 |
$630.36 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
25 |
25 |
$630.36 |