Canyon Gate Dental Care LLC

Canyon Gate Dental Care LLC was paid $2K by Medicaid between Mar 2021 and Oct 2021, across 3 billing codes. Its largest line is D0230, Intraoral - periapical each additional radiographic image — 51% of everything it billed.

33Billing provider infoCANYON GATE DENTAL CARE LLC
OREM, UT 84057

33aNPI1548506058assigned 01/02/2013

33bProvider typeGeneral Practice Dentistry

28Total paid$2K

24GClaims130

24DCodes billed3

24AFirst – last monthMar 2021 – Oct 2021

Compared with peers

Next to other General Practice Dentistry providers in Utah

Rank by total paid#182 of 225

Median peer was paid$21K

This provider vs. median0.1×

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	130	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0230	Intraoral - periapical each additional radiographic image	51%	87	26	$940.90
D0220	Intraoral - periapical first radiographic image	25%	31	27	$452.95
D0150	Comprehensive oral evaluation - new or established patient	24%	12	12	$439.97

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 officialPAYNE, GLENN (DENTIST)