Clinic
Canyon Modern Dentistry & Orthodontics
Canyon Modern Dentistry & Orthodontics was paid $2K by Medicaid between Jul 2019 and Nov 2019, across 4 billing codes. Its largest line is D1120, dental cleaning, child — 61% of everything it billed.
33Billing provider infoCANYON MODERN DENTISTRY & ORTHODONTICS
SURPRISE, AZ 85388
SURPRISE, AZ 85388
33aNPI1366848897assigned 11/11/2014
33bProvider typeDental Clinic/Center
28Total paid$2K
24GClaims136
24DCodes billed4
24AFirst – last monthJul 2019 – Nov 2019
Compared with peers
Next to other Dental Clinic/Center providers in Arizona
Rank by total paid#46 of 70
Median peer was paid$7K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2019 | 136 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 61% | 44 | 44 | $2K |
| D1206 | Topical application of fluoride varnish | 23% | 35 | 35 | $574.86 |
| D0150 | Comprehensive oral evaluation - new or established patient | 16% | 12 | 12 | $400.84 |
| D1330 | 0% | 45 | 45 | $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.
From NPPES
Who's on the registration
Authorized officialKHAKWANI, MOHAMMED (GENERAL DENTIST)