NPI: 1174220263 · KENNESAW, GA 30144 · Durable Medical Equipment & Medical Supplies · NPI assigned 02/09/2023
| Authorized Official | NAVARRO, JUSTIN (OWNER) |
| NPI Enumeration Date | 02/09/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 49 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L1852 | Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf | 25 | 13 | $777.95 |
| L2397 | Addition to lower extremity orthosis, suspension sleeve | 24 | 13 | $311.66 |