NPI: 1366995144 · SAN DIEGO, CA 92108 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 126 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L0650 | Lso sc r ant/pos pnl pre ots | 18 | 18 | $2K |
| L3960 | Sewho airplan desig abdu pos | 14 | 14 | $784.54 |
| L3916 | Who nontorsion jnts pre ots | 18 | 18 | $759.02 |
| L1971 | Afo w/ankle joint, prefab | 28 | 14 | $712.20 |
| L1851 | Ko single upright prefab ots | 32 | 16 | $663.92 |
| L2397 | Suspension sleeve lower ext | 16 | 16 | $85.31 |