GUYMON, RUSSELL
NPI: 1003133174
· LOGAN, UT 84321
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 04/28/2010
$994.24
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
28 |
$994.24 |
| 2020 |
27 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
13 |
$994.24 |
| D0350 |
|
13 |
12 |
$0.00 |
| D8670 |
Periodic orthodontic treatment visit |
27 |
27 |
$0.00 |