NPI: 1245437490 · DARDANELLE, AR 72834 · 261QR1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,544 | $36K |
| 2019 | 1,044 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 596 | 538 | $26K | |
| 99213 | 831 | 721 | $21K | |
| 99203 | 109 | 100 | $5K | |
| 85025 | 459 | 395 | $3K | |
| 80061 | 124 | 107 | $1K | |
| 99212 | 43 | 33 | $773.60 | |
| 80053 | 115 | 99 | $479.02 | |
| 87430 | 51 | 41 | $450.45 | |
| 87804 | 31 | 28 | $363.50 | |
| 36415 | 188 | 164 | $119.56 | |
| 81003 | 17 | 15 | $34.00 | |
| 90756 | 12 | 12 | $1.75 | |
| G0008 | Admin influenza virus vac | 12 | 12 | $0.00 |