NPI: 1366696627 · PRESQUE ISLE, ME 04769 · 332BC3200X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 409 | $16K |
| 2019 | 227 | $10K |
| 2020 | 138 | $10K |
| 2021 | 52 | $8K |
| 2022 | 299 | $24K |
| 2023 | 548 | $49K |
| 2024 | 17 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L3010 | Foot longitudinal arch suppo | 242 | 183 | $53K |
| A5500 | Diab shoe for density insert | 942 | 642 | $32K |
| L3020 | Foot longitud/metatarsal sup | 64 | 43 | $16K |
| A5512 | Multi den insert direct form | 269 | 195 | $9K |
| A5513 | Multi den insert custom mold | 125 | 107 | $8K |
| L3216 | Orthoped ladies shoes dpth i | 26 | 15 | $3K |
| L3040 | Ft arch suprt premold longit | 22 | 13 | $918.06 |