NPI: 1548770647 · LA MESA, CA 91942 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 196 | $5K |
| 2019 | 836 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L1851 | Ko single upright prefab ots | 242 | 147 | $8K |
| L3960 | Sewho airplan desig abdu pos | 213 | 189 | $5K |
| L0650 | Lso sc r ant/pos pnl pre ots | 77 | 74 | $2K |
| L3916 | Who nontorsion jnts pre ots | 113 | 107 | $1K |
| L2397 | Suspension sleeve lower ext | 162 | 147 | $861.03 |
| L1971 | Afo w/ankle joint, prefab | 153 | 83 | $582.98 |
| L3170 | Foot plas heel stabi pre ots | 72 | 66 | $253.64 |