NPI: 1285616714 · MAUMEE, OH 43537 · Customized Equipment (DME) · NPI assigned 11/18/2005
| Authorized Official | STEVENS, MICHAEL (PRESIDENT) |
| NPI Enumeration Date | 11/18/2005 |
Other providers sharing the same authorized official: STEVENS, MICHAEL
| Provider | City | State | Total Paid |
|---|---|---|---|
| DAYTON ARTHRITIS AND ALLERGY CENTER LLC | DAYTON | OH | $62K |
| PANTEGO DENTIST, PLLC | ARLINGTON | TX | $38K |
| EAST PENN PODIATRY ASSOCIATES LLC | KUTZTOWN | PA | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 12 | $1K |
| 2021 | 13 | $1K |
| 2023 | 62 | $6K |
| 2024 | 13 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L4386 | Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | 100 | 90 | $9K |