NPI: 1649319120 · BUFFALO GROVE, IL 60089 · Durable Medical Equipment & Medical Supplies · NPI assigned 02/05/2007
| Authorized Official | DONETS, ILONA (MANAGER) |
| NPI Enumeration Date | 02/05/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 31 | $6K |
| 2020 | 12 | $1K |
| 2022 | 25 | $7K |
| 2023 | 30 | $7K |
| 2024 | 49 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L3002 | Foot, insert, removable, molded to patient model, plastazote or equal, each | 61 | 60 | $16K |
| L3060 | Foot, arch support, removable, premolded, longitudinal/ metatarsal, each | 62 | 62 | $8K |
| L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | 12 | 12 | $7K |
| L3215 | Orthopedic footwear, ladies shoe, oxford, each | 12 | 12 | $1K |