SHANNON CLINIC
NPI: 1124038633
· SAN ANGELO, TX 76903
· Durable Medical Equipment & Medical Supplies
· NPI assigned 08/08/2006
$373.12
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: VILLARREAL, RICARDO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
33 |
$373.12 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
33 |
24 |
$373.12 |