NPI: 1255381471 · MOORE, OK 73160 · 335E00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 622 | $159K |
| 2019 | 557 | $143K |
| 2020 | 716 | $196K |
| 2021 | 539 | $151K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L1960 | Afo pos solid ank plastic mo | 442 | 441 | $265K |
| L2820 | Soft interface below knee se | 1,221 | 1,203 | $111K |
| L1907 | Afo supramalleolar custom | 175 | 175 | $106K |
| L1970 | Afo plastic molded w/ankle j | 152 | 150 | $94K |
| L2275 | Plastic mod low ext pad/line | 387 | 386 | $56K |
| L2280 | Molded inner boot | 31 | 31 | $17K |
| L3040 | Ft arch suprt premold longit | 14 | 14 | $895.86 |
| L0984 | Protect body sock ea pre ots | 12 | 12 | $854.49 |