WALDECK, TIFFANIE
NPI: 1881905727
· HOPE VALLEY, RI 02832
· Dentist
· NPI assigned 06/25/2010
$194K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
432 |
$14K |
| 2019 |
344 |
$13K |
| 2020 |
308 |
$10K |
| 2021 |
898 |
$31K |
| 2022 |
1,232 |
$41K |
| 2023 |
930 |
$33K |
| 2024 |
1,516 |
$52K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
2,212 |
2,110 |
$76K |
| D1120 |
Prophylaxis - child |
1,714 |
1,639 |
$72K |
| D1110 |
Prophylaxis - adult |
457 |
457 |
$18K |
| D0120 |
Periodic oral evaluation - established patient |
584 |
549 |
$12K |
| D0274 |
Bitewings - four radiographic images |
365 |
365 |
$9K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
91 |
91 |
$3K |
| D0272 |
Bitewings - two radiographic images |
149 |
149 |
$3K |
| D1351 |
Sealant - per tooth |
75 |
29 |
$2K |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$650.00 |