NPI: 1417327065
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 392 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L1971 | Afo w/ankle joint, prefab | 77 | 63 | $6K |
| L3030 | Foot arch support remov prem | 98 | 73 | $2K |
| L1906 | Afo multilig ank sup pre ots | 86 | 69 | $1K |
| L3020 | Foot longitud/metatarsal sup | 34 | 28 | $1K |
| A5500 | Diab shoe for density insert | 35 | 26 | $494.16 |
| L1820 | Ko elas w/ condyle pads & jo | 14 | 12 | $341.20 |
| L3225 | Man's shoe oxford brace | 17 | 13 | $239.22 |
| L3224 | Woman's shoe oxford brace | 14 | 12 | $236.90 |
| A5512 | Multi den insert direct form | 17 | 13 | $236.11 |