BILLY D RUSSOM, DDS
NPI: 1609471499
· CORNING, AR 72422
· General Practice Dentistry
· NPI assigned 12/01/2020
Provider Details
| Authorized Official | HAYES, RENEE (INSURANCE CLERK) |
| NPI Enumeration Date | 12/01/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
13 |
$345.80 |
| 2022 |
25 |
$746.20 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
26 |
26 |
$691.60 |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$400.40 |