RICHARD E. DIETZEN, M.D.,P.A.
NPI: 1174738397
· EL DORADO, AR 71730
· Medical Specialty Clinic/Center
· NPI assigned 05/11/2007
$630.86
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
115 |
$536.62 |
| 2019 |
42 |
$94.24 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
15 |
$454.56 |
| 94761 |
|
113 |
104 |
$94.24 |
| 94010 |
|
28 |
25 |
$82.06 |