NPI: 1063179844 · BLOOMINGTON, IN
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 28 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A5500 | For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe | 28 | 12 | $0.00 |