Need a report to generate for Promotional/Advertising

Need a report to generate for Promotional/Advertising drip campaign - that would populate when any 1 of 13 Procedure Codes are entered (see below details).

When entering these 13 codes, we want ability to generate a report showing this information:

1) Category Name of Dental Procedure

2) Procedure Code #,

3) Patient Name,

4) Patient Phone Number,

5) Patient Email.

There are 7 Categories and a total of 13 CODES as follows:

1 -Category -Cosmetic Dentistry-

Code #2962, #0470, #9927;

2 -Category -Dental Implants-

Code #6010;

3 - Category -Whole Mouth Implants-

Code #6114, #6115;

4 - Category - Sedation Dentistry-

Code #9222, #9240;

5- Category - Invisalign-

Code #8090;

6- Category - Sleep Apnea-

Code #5999;

7- Category - Dental Crown & Bridges-

Code #2740, #6245, #6740