CANNON, HYRUM
NPI: 1558684472
· BOUNTIFUL, UT 84010
· General Practice Dentistry
· NPI assigned 03/05/2010
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
79 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
27 |
27 |
$846.08 |
| D0120 |
Periodic oral evaluation - established patient |
19 |
19 |
$423.28 |
| D1206 |
Topical application of fluoride varnish |
16 |
16 |
$0.00 |
| D1120 |
Prophylaxis - child |
17 |
17 |
$0.00 |