TIFFANY SRECA DMD PC
NPI: 1801520796
· WILMINGTON, VT 05363
· Dental Clinic/Center
· NPI assigned 07/15/2022
2,069
Beneficiary Records
Provider Details
| Authorized Official | SRECA, TIFFANY (OWNER) |
| NPI Enumeration Date | 07/15/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
784 |
$20K |
| 2023 |
1,395 |
$44K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
675 |
651 |
$17K |
| D1110 |
Prophylaxis - adult |
275 |
267 |
$13K |
| D1206 |
Topical application of fluoride varnish |
685 |
651 |
$13K |
| D4346 |
|
127 |
121 |
$9K |
| D0274 |
Bitewings - four radiographic images |
257 |
250 |
$8K |
| D1120 |
Prophylaxis - child |
89 |
89 |
$3K |
| D4910 |
|
16 |
16 |
$1K |
| D1351 |
Sealant - per tooth |
43 |
12 |
$855.50 |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$720.00 |