NPI: 1962483636 · ADA, OK 74820 · Durable Medical Equipment & Medical Supplies · NPI assigned 11/09/2005
| Authorized Official | PRENTICE, TAMMY (OWNER/CORPORATE OFFICER/MANAGER) |
| NPI Enumeration Date | 11/09/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 301 | $7K |
| 2019 | 53 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 230 | 230 | $8K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 124 | 124 | $796.31 |