NPI: 1447962055 · CHESTERFIELD, MI 48051 · General Practice Dentistry · NPI assigned 12/15/2022
Authorized official QUINTEROS, ERICA controls 13+ related entities in our dataset. Read more
| Authorized Official | QUINTEROS, ERICA (CREDENTIALING) |
| NPI Enumeration Date | 12/15/2022 |
Other providers sharing the same authorized official: QUINTEROS, ERICA
| Provider | City | State | Total Paid |
|---|---|---|---|
| PROFESSIONAL DENTAL ALLIANCE OF TENNESSEE, PLLC | CHATTANOOGA | TN | $11.49M |
| PROFESSIONAL DENTAL ALLIANCE OF CT - PEDO, PLLC | FAIRFIELD | CT | $2.05M |
| PROFESSIONAL DENTAL ALLIANCE OF BRIGHTON, PLLC | BRIGHTON | MI | $2.03M |
| PROFESSIONAL DENTAL ALLIANCE OF TAYLOR, PLLC | TAYLOR | MI | $1.18M |
| PROFESSIONAL DENTAL ALLIANCE OF FARMINGTON, PLLC | FARMINGTON | MI | $379K |
| PROFESSIONAL DENTAL ALLIANCE OF NORWALK, PLLC | NORWALK | CT | $323K |
| PROFESSIONAL DENTAL ALLIANCE SPECIALTY, LLC | BOARDMAN | OH | $279K |
| PROFESSIONAL DENTAL ALLIANCE OF FLAT ROCK, PLLC | FLAT ROCK | MI | $240K |
| PROFESSIONAL DENTAL ALLIANCE OF FLORIDA, PLLC | PORT ST LUCIE | FL | $143K |
| PROFESSIONAL DENTAL ALLIANCE OF BURTON, PLLC | BURTON | MI | $132K |
| PROFESSIONAL DENTAL ALLIANCE OF CT - ORTHO, PLLC | FAIRFIELD | CT | $127K |
| PROFESSONAL DENTAL ALLIANCE OF WORTHINGTON, LLC | WORTHINGTON | OH | $27K |
| PROFESSIONAL DENTAL ALLIANCE OF MERIDIAN, PLLC | CUMBERLAND | MD | $141.84 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 445 | $23K |
| 2024 | 3,687 | $290K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 108 | 71 | $73K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 374 | 225 | $46K |
| D0210 | Intraoral - complete series of radiographic images | 540 | 532 | $36K |
| D0150 | Comprehensive oral evaluation - new or established patient | 688 | 687 | $29K |
| D2950 | 178 | 139 | $29K | |
| D1110 | Prophylaxis - adult | 369 | 369 | $20K |
| D0140 | Limited oral evaluation - problem focused | 447 | 444 | $18K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 166 | 101 | $17K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 66 | 43 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 489 | 482 | $8K |
| D7140 | Extraction, erupted tooth or exposed root | 86 | 25 | $7K |
| D4341 | 27 | 13 | $4K | |
| D0120 | Periodic oral evaluation - established patient | 150 | 150 | $4K |
| D0274 | Bitewings - four radiographic images | 64 | 64 | $2K |
| D0330 | Panoramic radiographic image | 31 | 31 | $2K |
| D1206 | Topical application of fluoride varnish | 64 | 64 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 201 | 125 | $2K |
| D1120 | Prophylaxis - child | 43 | 43 | $2K |
| D4346 | 24 | 24 | $2K | |
| D2330 | 17 | 12 | $1K |