MIRACLE KIDS SUCCESS ACADEMY
NPI: 1184945701
· JONESBORO, AR 72404
· Occupational Therapist
· NPI assigned 06/17/2010
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | DECKER, SHELLY (CEO) |
| NPI Enumeration Date | 06/17/2010 |
Related Entities
Other providers sharing the same authorized official: DECKER, SHELLY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
137 |
$0.00 |
| 2020 |
15 |
$0.00 |
| 2022 |
266 |
$0.00 |
| 2023 |
204 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
470 |
63 |
$0.00 |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
137 |
66 |
$0.00 |
| 96112 |
|
15 |
12 |
$0.00 |