CANYONLANDS COMMUNITY HEALTH CARE
NPI: 1780653741
· LITTLEFIELD, AZ 86432
· General Practice Dentistry
· NPI assigned 03/14/2006
$173K
Total Medicaid Paid
Provider Details
| Authorized Official | HANSEN, CHRISTOPHER (CEO) |
| Parent Organization | CANYONLANDS COMMUNITY HEALTH CARE |
| NPI Enumeration Date | 03/14/2006 |
Related Entities
Other providers sharing the same authorized official: HANSEN, CHRISTOPHER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,432 |
$173K |
| 2021 |
14 |
$32.25 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,109 |
923 |
$173K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
294 |
238 |
$322.50 |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
14 |
12 |
$32.25 |
| 99000 |
|
29 |
25 |
$0.00 |