NPI: 1326118407 · CARSON CITY, NV 89703 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 940 | $41K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T4527 | Adult size pull-on lg | 230 | 172 | $11K |
| T4526 | Adult size pull-on med | 259 | 185 | $10K |
| T4528 | Adult size pull-on xl | 144 | 116 | $7K |
| T4522 | Adult size brief/diaper med | 95 | 80 | $5K |
| T4525 | Adult size pull-on sm | 76 | 55 | $3K |
| T4521 | Adult size brief/diaper sm | 62 | 49 | $3K |
| T4523 | Adult size brief/diaper lg | 18 | 12 | $1K |
| T4535 | Disposable liner/shield/pad | 56 | 37 | $778.87 |