NPI: 1992231799 · LEWISTON, ID 83501 · Oxygen Equipment & Supplies (DME) · NPI assigned 05/11/2017
Authorized official TRAYLOR, JOHNETTA controls 20+ related entities in our dataset. Read more
| Authorized Official | TRAYLOR, JOHNETTA (AO) |
| NPI Enumeration Date | 05/11/2017 |
Other providers sharing the same authorized official: TRAYLOR, JOHNETTA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 30 | $865.25 |
| 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 | 30 | 24 | $865.25 |