NPI: 1720163512 · ADDISON, TX 75001 · Prosthetic/Orthotic Supplier
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 13 | $19K |
| 2021 | 74 | $108K |
| 2022 | 32 | $38K |
| 2023 | 16 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S1040 | Cranial remolding orthosis, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s) | 135 | 125 | $189K |