Billy D Russom, DDS

Billy D Russom, DDS was paid $1K by Medicaid between Mar 2021 and Sep 2022, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 63% of everything it billed.

33Billing provider infoBILLY D RUSSOM, DDS
CORNING, AR 72422

33aNPI1609471499assigned 12/01/2020

33bProvider typeGeneral Practice Dentistry

28Total paid$1K

24GClaims38

24DCodes billed2

24AFirst – last monthMar 2021 – Sep 2022

Compared with peers

Next to other General Practice Dentistry providers in Arkansas

Rank by total paid#374 of 401

Median peer was paid$36K

This provider vs. median0.0×

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
2021	13	$345.80
2022	25	$746.20

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	63%	26	26	$691.60
D0140	Limited oral evaluation - problem focused	37%	12	12	$400.40

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.

From NPPES

Who's on the registration

Authorized officialHAYES, RENEE (INSURANCE CLERK)