HEALTHSOURCE OF WHITE BEAR LAKE, PLLC
NPI: 1073767372
· WHITE BEAR LAKE, MN 55110
· Chiropractor
· NPI assigned 11/13/2008
$279.20
Total Medicaid Paid
Provider Details
| Authorized Official | DIXON, MICHAEL (CHIROPRACTOR) |
| NPI Enumeration Date | 11/13/2008 |
Related Entities
Other providers sharing the same authorized official: DIXON, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
27 |
$279.20 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
27 |
16 |
$279.20 |