NPI: 1790408581 · BEDFORD, TX 76021 · Durable Medical Equipment & Medical Supplies · NPI assigned 09/26/2022
| Authorized Official | VANDANAPU, SIDDARTHA (OWNER) |
| NPI Enumeration Date | 09/26/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 28 | $222.22 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L3916 | Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf | 28 | 14 | $222.22 |