CANYON GATE DENTAL CARE LLC
NPI: 1548506058
· OREM, UT 84057
· General Practice Dentistry
· NPI assigned 01/02/2013
Provider Details
| Authorized Official | PAYNE, GLENN (DENTIST) |
| NPI Enumeration Date | 01/02/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
130 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
87 |
26 |
$940.90 |
| D0220 |
Intraoral - periapical first radiographic image |
31 |
27 |
$452.95 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$439.97 |