NPI: 1255958229 · ARLINGTON, TX 76001 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 69 | $7K |
| 2023 | 201 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E2311 | Electro connect btw 2 sys | 27 | 27 | $5K |
| E2361 | 22nf sealed leadacid battery | 56 | 56 | $3K |
| E1007 | Pwr seat combo w/shear | 12 | 12 | $3K |
| E1028 | W/c manual swingaway | 86 | 43 | $2K |
| E1012 | Ctr mount pwr elev leg rest | 40 | 40 | $794.73 |
| E2377 | Expandable controller, initl | 12 | 12 | $531.98 |
| E0955 | Cushioned headrest | 25 | 25 | $281.32 |
| E2313 | Pwc harness, expand control | 12 | 12 | $0.00 |