DARDANELLE REGIONAL, LLC
NPI: 1205940236
· DARDANELLE, AR 72834
· Emergency Medicine Physician
· NPI assigned 08/18/2006
$140.10
Total Medicaid Paid
Provider Details
| Authorized Official | TALLEY, BRANDY (CONTROLLER) |
| NPI Enumeration Date | 08/18/2006 |
Related Entities
Other providers sharing the same authorized official: TALLEY, BRANDY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
75 |
$70.05 |
| 2020 |
183 |
$70.05 |
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 |
114 |
107 |
$140.10 |
| 80053 |
Comprehensive metabolic panel |
30 |
30 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48 |
45 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
30 |
30 |
$0.00 |
| 86710 |
|
12 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$0.00 |
| 80061 |
Lipid panel |
12 |
12 |
$0.00 |