TBD HEALTH ENTERPRISES OF ARKANSAS PLLC
NPI: 1760242440
· FORT SMITH, AR 72908
· Interventional Pain Medicine Physician
· NPI assigned 03/20/2024
$809.07
Total Medicaid Paid
Provider Details
| Authorized Official | DE MIRANDA, THOMAS (AUTHORIZED OFFICIAL) |
| NPI Enumeration Date | 03/20/2024 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
132 |
$809.07 |
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 |
62 |
58 |
$779.72 |
| 96138 |
|
15 |
15 |
$29.35 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
55 |
51 |
$0.00 |