CANYON CREEK FAMILY DENTISTRY, P.A.
NPI: 1659502730
· RICHARDSON, TX 75080
· Pediatric Dentist
· NPI assigned 08/06/2009
Provider Details
Related Entities
Other providers sharing the same authorized official: AZMOODEH, AFSHIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
13 |
$191.10 |
| 2021 |
249 |
$4K |
| 2022 |
247 |
$4K |
| 2023 |
326 |
$4K |
| 2024 |
154 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
177 |
171 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
269 |
267 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
206 |
202 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
163 |
160 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$423.84 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$380.11 |
| D0602 |
|
150 |
149 |
$0.00 |