NPI: 1255364386 · DORCHESTER, MA 02122 · Durable Medical Equipment & Medical Supplies · NPI assigned 07/09/2006
| Authorized Official | VINH, HIEU (PRESIDENT) |
| NPI Enumeration Date | 07/09/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 26 | $3K |
| 2021 | 19 | $2K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| B4150 | Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 45 | 42 | $5K |