CANADIAN VALLEY DENTISTRY PLLC
NPI: 1720437296
· EL RENO, OK 73036
· General Practice Dentistry
· NPI assigned 06/06/2016
Provider Details
| Authorized Official | TATE, RAY (DENTIST) |
| NPI Enumeration Date | 06/06/2016 |
Related Entities
Other providers sharing the same authorized official: TATE, RAY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
28 |
$441.32 |
| 2024 |
220 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
64 |
48 |
$3K |
| D0120 |
|
73 |
53 |
$2K |
| D1206 |
|
69 |
60 |
$1K |
| D0220 |
|
42 |
36 |
$665.53 |