NPI: 1144958638 · BRYANT, AR 72022 · Prosthetic/Orthotic Supplier · NPI assigned 08/11/2022
| Authorized Official | AYCOCK, ADAM (MANAGER) |
| NPI Enumeration Date | 08/11/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 49 | $4K |
| 2024 | 71 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L3202 | Orthopedic shoe, oxford with supinator or pronator, child | 120 | 106 | $9K |