NPI: 1952984882 · CANOGA PARK, CA 91303 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 501 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L1820 | Ko elas w/ condyle pads & jo | 189 | 109 | $2K |
| L3761 | Eo, adj lock joint prefab ot | 32 | 32 | $644.42 |
| A4239 | Non-adju cgm supply allow | 14 | 14 | $557.75 |
| L0627 | Lo sag ri an/pos pnl pre cst | 33 | 33 | $73.85 |
| L2387 | Add le poly knee custom kafo | 177 | 97 | $20.67 |
| L0180 | Cer post col occ/man sup adj | 19 | 19 | $0.00 |
| L1971 | Afo w/ankle joint, prefab | 37 | 19 | $0.00 |