NPI: 1679246896 · BROKEN ARROW, OK 74014 · Customized Equipment (DME) · NPI assigned 07/26/2021
| Authorized Official | PLATNER, WESLEY (OWNER) |
| NPI Enumeration Date | 07/26/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 14 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| K0739 | Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes | 14 | 12 | $2K |