PERFORMANCE CHIROPRACTIC CLINIC PA
NPI: 1538293014
· KELLER, TX 76248
· 111N00000X
$770.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
54 |
$770.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
19 |
19 |
$575.00 |
| V2784 |
Lens polycarb or equal |
15 |
15 |
$195.00 |
| 92015 |
|
20 |
19 |
$0.00 |