NPI: 1316018583 · BURIEN, WA 98166 · Prosthetic/Orthotic Supplier · NPI assigned 11/10/2006
| Authorized Official | FRIESZELL, RAYMOND (OWNER) |
| NPI Enumeration Date | 11/10/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14 | $839.69 |
| 2019 | 42 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A5500 | For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe | 56 | 33 | $2K |