PEGASUS DME INC
NPI: 1972040400
· OAKDALE, NY 11769
· Prosthetic/Orthotic Supplier
· NPI assigned 01/23/2017
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | AFFENITA, JOHN (MANAGER) |
| NPI Enumeration Date | 01/23/2017 |
Related Entities
Other providers sharing the same authorized official: AFFENITA, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
33 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2397 |
Addition to lower extremity orthosis, suspension sleeve |
33 |
17 |
$0.00 |