MANTRA MEDICAL SUPPLY INC
NPI: 1063037042
· ENCINO, CA 91316
· Durable Medical Equipment & Medical Supplies
· NPI assigned 06/15/2020
Provider Details
| Authorized Official | DAHESH, BEHNAM (CEO) |
| NPI Enumeration Date | 06/15/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
68 |
$4K |
| 2023 |
367 |
$18K |
| 2024 |
745 |
$34K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
1,112 |
1,101 |
$52K |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
53 |
53 |
$3K |
| K0554 |
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system |
15 |
15 |
$1K |