Cannon, Hyrum

Cannon, Hyrum was paid $1K by Medicaid between Feb 2018 and Aug 2018, across 4 billing codes. Its largest line is D0220, Intraoral - periapical first radiographic image — 67% of everything it billed.

33Billing provider infoCANNON, HYRUM
BOUNTIFUL, UT 84010

33aNPI1558684472assigned 03/05/2010

33bProvider typeGeneral Practice Dentistry

28Total paid$1K

24GClaims79

24DCodes billed4

24AFirst – last monthFeb 2018 – Aug 2018

Compared with peers

Next to other General Practice Dentistry providers in Utah

Rank by total paid#195 of 225

Median peer was paid$21K

This provider vs. median0.1×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	79	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0220	Intraoral - periapical first radiographic image	67%	27	27	$846.08
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	33%	19	19	$423.28
D1206	Topical application of fluoride varnish	0%	16	16	$0.00
D1120	Dental cleaning, childProphylaxis - child	0%	17	17	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.