Dental
Canyon Creek Family Dentistry, P.A.
Canyon Creek Family Dentistry, P.A. was paid $14K by Medicaid between Dec 2020 and Aug 2024, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 35% of everything it billed.
33Billing provider infoCANYON CREEK FAMILY DENTISTRY, P.A.
RICHARDSON, TX 75080
RICHARDSON, TX 75080
33aNPI1659502730assigned 08/06/2009
33bProvider typePediatric Dentist
28Total paid$14K
24GClaims989
24DCodes billed7
24AFirst – last monthDec 2020 – Aug 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#566 of 693
Median peer was paid$252K
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 | |
|---|---|---|---|
| 2020 | 13 | $191.10 | |
| 2021 | 249 | $4K | |
| 2022 | 247 | $4K | |
| 2023 | 326 | $4K | |
| 2024incomplete | 154 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 35% | 177 | 171 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 28% | 269 | 267 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 18% | 206 | 202 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 13% | 163 | 160 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.1% | 12 | 12 | $423.84 |
| D0274 | Bitewings - four radiographic images | 2.8% | 12 | 12 | $380.11 |
| D0602 | 0% | 150 | 149 | $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 officialAZMOODEH, AFSHIN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Epic Family Dentistry, PLLC | Garland, TX | $27K |
| Legacy Trails Dental, PLLC | Plano, TX | $17K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.