NPI: 1851403117 · EDEN PRAIRIE, MN 55344 · Prosthetic/Orthotic Supplier · NPI assigned 08/31/2006
| Authorized Official | ROBISON, KIMBERLY (CO OWNER) |
| NPI Enumeration Date | 08/31/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 46 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L8000 | Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type | 46 | 39 | $4K |