NPI: 1558755975 · DUNN, NC 28334 · Durable Medical Equipment & Medical Supplies · NPI assigned 03/24/2015
| Authorized Official | JACKSON, COOPER (OWNER) |
| NPI Enumeration Date | 03/24/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 67 | $0.00 |
| 2021 | 51 | $118.53 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L2397 | Addition to lower extremity orthosis, suspension sleeve | 34 | 17 | $72.86 |
| L2810 | Addition to lower extremity orthosis, knee control, condylar pad | 17 | 16 | $45.67 |
| L1030 | Addition to ctlso or scoliosis orthosis, lumbar bolster pad | 17 | 15 | $0.00 |
| L1040 | Addition to ctlso or scoliosis orthosis, lumbar or lumbar rib pad | 16 | 15 | $0.00 |
| L0976 | Lso, full corset | 17 | 15 | $0.00 |
| L1020 | Addition to ctlso or scoliosis orthosis, kyphosis pad | 17 | 15 | $0.00 |