RONDA DENNIS-SMITHART, MD, PC
NPI: 1063616720
· OSKALOOSA, IA 52577
· Pediatrics Physician
· NPI assigned 06/14/2007
$113K
Total Medicaid Paid
Provider Details
| Authorized Official | SMITHART, MIKE (OFFICE MANAGER) |
| NPI Enumeration Date | 06/14/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,282 |
$49K |
| 2019 |
1,326 |
$56K |
| 2020 |
235 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,159 |
957 |
$36K |
| 99215 |
Prolong outpt/office vis |
340 |
266 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
469 |
400 |
$24K |
| 96127 |
|
231 |
205 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
312 |
305 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
71 |
64 |
$940.80 |
| 99423 |
|
15 |
13 |
$638.55 |
| 90688 |
|
149 |
147 |
$538.01 |
| 81002 |
|
97 |
90 |
$284.02 |