NPI: 1578082350 · BLOOMINGTON, IN 47401 · Durable Medical Equipment & Medical Supplies
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A5500 | For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe | 15 | 13 | $0.00 |