DONA ANA MEDICAL SUPPLY
NPI: 1811300619
· RUIDOSO, NM 88345
· Oxygen Equipment & Supplies (DME)
· NPI assigned 06/09/2014
$120.67
Total Medicaid Paid
Provider Details
| Authorized Official | GONZALEZ, ABRAHAM (PRESIDENT / OWNER) |
| Parent Organization | DONA ANA MEDIAL SUPPLY |
| NPI Enumeration Date | 06/09/2014 |
Related Entities
Other providers sharing the same authorized official: GONZALEZ, ABRAHAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$120.67 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
12 |
12 |
$120.67 |