CANYON MODERN DENTISTRY & ORTHODONTICS
NPI: 1366848897
· SURPRISE, AZ 85388
· Dental Clinic/Center
· NPI assigned 11/11/2014
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
136 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
44 |
44 |
$2K |
| D1206 |
Topical application of fluoride varnish |
35 |
35 |
$574.86 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$400.84 |
| D1330 |
|
45 |
45 |
$0.00 |