MIRACLE KIDS SUCCESS ACADEMY OF TRUMANN
NPI: 1063979243
· TRUMANN, AR 72472
· Occupational Therapist
· NPI assigned 02/25/2019
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official KELLER, SHELLY controls 12+ related entities in our dataset. Read more
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | KELLER, SHELLY (CEO) |
| NPI Enumeration Date | 02/25/2019 |
Related Entities
Other providers sharing the same authorized official: KELLER, SHELLY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
360 |
$0.00 |
| 2023 |
86 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
446 |
65 |
$0.00 |