Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Professonal Dental Alliance of Worthington, LLC

Professonal Dental Alliance of Worthington, LLC was paid $27K by Medicaid between Jul 2024 and Dec 2024, across 6 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 34% of everything it billed.

33Billing provider infoPROFESSONAL DENTAL ALLIANCE OF WORTHINGTON, LLC
WORTHINGTON, OH 43085
33aNPI1356815401assigned 01/11/2019
33bProvider typeDentist
28Total paid$27K
24GClaims381
24DCodes billed6
24AFirst – last monthJul 2024 – Dec 2024
Compared with peers

Next to other Dentist providers in Ohio

Rank by total paid#406 of 745
Median peer was paid$38K
This provider vs. median0.7×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official QUINTEROS, ERICA controls 13+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2024incomplete381$27K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0210 Intraoral - complete series of radiographic images 34% 82 82 $9K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 26% 71 36 $7K
D0150 Comprehensive oral evaluation - new or established patient 26% 140 138 $7K
D2950 6.9% 13 12 $2K
D0140 Limited oral evaluation - problem focused 5.4% 35 35 $1K
D0220 Intraoral - periapical first radiographic image 1.4% 40 39 $395.17

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialQUINTEROS, ERICA (CREDENTIALING ENROLLMENT MANAGER)
Same official

Other billing entities under QUINTEROS, ERICA

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.