LEVEL FOUR ORTHOTICS & PROSTHETICS, INC.
NPI: 1902801244
· WINSTON SALEM, NC 27103
· 335E00000X
$1.29M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,600 |
$773K |
| 2019 |
2,274 |
$265K |
| 2020 |
975 |
$78K |
| 2021 |
529 |
$128K |
| 2022 |
312 |
$32K |
| 2023 |
352 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S1040 |
Cranial remolding orthosis |
341 |
277 |
$747K |
| L1960 |
Afo pos solid ank plastic mo |
524 |
222 |
$138K |
| L2280 |
Molded inner boot |
526 |
242 |
$123K |
| L2840 |
Tibial length sock fx or equ |
1,588 |
754 |
$93K |
| L2820 |
Soft interface below knee se |
1,615 |
774 |
$73K |
| L2275 |
Plastic mod low ext pad/line |
951 |
431 |
$66K |
| L3203 |
Oxford w/ supinator/pronator |
1,141 |
461 |
$33K |
| L3202 |
Oxford w/ supinat/pronator c |
287 |
132 |
$8K |
| L3010 |
Foot longitudinal arch suppo |
69 |
25 |
$6K |