Canyon Crest Family Dental & Aesthetics

Canyon Crest Family Dental & Aesthetics was paid $7K by Medicaid between Oct 2018 and Jan 2021, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 31% of everything it billed.

33Billing provider infoCANYON CREST FAMILY DENTAL & AESTHETICS
PUEBLO WEST, CO 81007

33aNPI1255835187assigned 03/23/2018

33bProvider typeDentist

28Total paid$7K

24GClaims275

24DCodes billed6

24AFirst – last monthOct 2018 – Jan 2021

Compared with peers

Next to other Dentist providers in Colorado

Rank by total paid#252 of 344

Median peer was paid$45K

This provider vs. median0.2×

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	13	$211.30
2019	24	$395.20
2020	207	$6K
2021	31	$705.26

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	31%	53	53	$2K
D0150	Comprehensive oral evaluation - new or established patient	20%	37	37	$1K
D1206	Topical application of fluoride varnish	19%	80	79	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	46	46	$1K
D0140	Limited oral evaluation - problem focused	7.7%	16	15	$524.96
D0220	Intraoral - periapical first radiographic image	7.5%	43	42	$516.86

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 officialBOYER, TRAVIS (OWNER)