NPI: 1124282108 · LAWRENCEVILLE, GA 30043 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 138 | $13K |
| 2019 | 157 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L4361 | Pneuma/vac walk boot pre ots | 87 | 87 | $17K |
| L3670 | So acro/clav can web pre ots | 32 | 30 | $3K |
| E0114 | Crutch underarm pair no wood | 88 | 88 | $3K |
| L3908 | Who cock-up nonmolde pre ots | 61 | 59 | $2K |
| L4350 | Ankle control ortho pre ots | 15 | 15 | $918.70 |
| L1902 | Afo ankle gauntlet pre ots | 12 | 12 | $558.49 |