NPI: 1487746327 · COLTON, CA 92324 · Customized Equipment (DME) · NPI assigned 09/29/2006
| Authorized Official | UKPONG, OFONIME (MANAGER) |
| NPI Enumeration Date | 09/29/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 48 | $3K |
| 2024 | 75 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E0143 | Walker, folding, wheeled, adjustable or fixed height | 35 | 34 | $1K |
| A6446 | Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard | 13 | 12 | $1K |
| T4541 | Incontinence product, disposable underpad, large, each | 12 | 12 | $757.89 |
| K0195 | Elevating leg rests, pair (for use with capped rental wheelchair base) | 63 | 63 | $564.13 |