NPI: 1720569544 · BLOOMINGTON, IN 47403 · Durable Medical Equipment & Medical Supplies
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 20 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L2275 | Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined | 20 | 12 | $2K |