NPI: 1891764403 · BARAGA, MI 49908 · Prosthetic/Orthotic Supplier · NPI assigned 03/16/2006
| Authorized Official | ROY, ROBIN (MANAGER) |
| NPI Enumeration Date | 03/16/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 24 | $2K |
| 2023 | 21 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L2275 | Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined | 45 | 25 | $4K |