NPI: 1871162321 · ROCHESTER, NY 14623 · Prosthetic/Orthotic Supplier · NPI assigned 06/20/2021
| Authorized Official | CORDOVANA, RACHEL (OWNER) |
| NPI Enumeration Date | 06/20/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 192 | $7K |
| 2024 | 163 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L8000 | Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type | 355 | 334 | $14K |