NPI: 1922104751 · FONTANA, CA 92335 · Prosthetic/Orthotic Supplier · NPI assigned 09/16/2006
| Authorized Official | WOOD, JEFFREY (PRESIDENT / CERTIFIED PROSTHETIST) |
| NPI Enumeration Date | 09/16/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 117 | $1K |
| 2019 | 125 | $104.08 |
| 2021 | 39 | $1K |
| 2022 | 128 | $6K |
| 2023 | 35 | $1K |
| 2024 | 77 | $20K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| A5513 | For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each | 340 | 336 | $22K |
| A5500 | For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe | 181 | 181 | $8K |