CANYON CREST FAMILY DENTAL & AESTHETICS
NPI: 1255835187
· PUEBLO WEST, CO 81007
· Dentist
· NPI assigned 03/23/2018
Provider Details
| Authorized Official | BOYER, TRAVIS (OWNER) |
| NPI Enumeration Date | 03/23/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$211.30 |
| 2019 |
24 |
$395.20 |
| 2020 |
207 |
$6K |
| 2021 |
31 |
$705.26 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
53 |
53 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
37 |
37 |
$1K |
| D1206 |
Topical application of fluoride varnish |
80 |
79 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
46 |
46 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
16 |
15 |
$524.96 |
| D0220 |
Intraoral - periapical first radiographic image |
43 |
42 |
$516.86 |