NPI: 1750772869 · BOISE, ID 83704 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 84 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E0603 | Electric breast pump | 12 | 12 | $2K |
| A4285 | Replcmnt breast pump bottle | 12 | 12 | $42.00 |
| A4282 | Replacement breastpump adpt | 12 | 12 | $0.00 |
| A4283 | Replacement breastpump cap | 12 | 12 | $0.00 |
| A4284 | Replcmnt breast pump shield | 12 | 12 | $0.00 |
| A4286 | Replcmnt breastpump lok ring | 12 | 12 | $0.00 |
| A4281 | Replacement breastpump tube | 12 | 12 | $0.00 |