PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES- WEST, LLC
NPI: 1225430150
· SALT LAKE CITY, UT 84103
· Prosthetic/Orthotic Supplier
· NPI assigned 09/23/2014
Provider Details
| Authorized Official | DRAPER, DAVID (DIRECTOR) |
| Parent Organization | PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES- WEST, LLC |
| NPI Enumeration Date | 09/23/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
54 |
$8K |
| 2019 |
41 |
$6K |
| 2020 |
99 |
$13K |
| 2021 |
205 |
$41K |
| 2022 |
122 |
$10K |
| 2023 |
32 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1930 |
Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment |
304 |
153 |
$39K |
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
113 |
67 |
$35K |
| L2280 |
Addition to lower extremity, molded inner boot |
111 |
56 |
$4K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
25 |
13 |
$973.55 |