NPI: 1740899541 · BURTON, MI 48519 · General Practice Dentistry · NPI assigned 07/28/2020
Authorized official QUINTEROS, ERICA controls 13+ related entities in our dataset. Read more
| Authorized Official | QUINTEROS, ERICA (CREDENTIALING SUPERVISOR) |
| NPI Enumeration Date | 07/28/2020 |
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 OF MI - LMTD, PLLC | CHESTERFIELD | MI | $313K |
| 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 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 |
|---|---|---|
| 2020 | 50 | $1K |
| 2021 | 232 | $5K |
| 2022 | 249 | $5K |
| 2023 | 951 | $57K |
| 2024 | 1,244 | $64K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 52 | 30 | $29K |
| D2950 | 137 | 89 | $20K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 121 | 68 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | 251 | 251 | $10K |
| D0120 | Periodic oral evaluation - established patient | 392 | 391 | $9K |
| D1120 | Prophylaxis - child | 253 | 253 | $9K |
| D0210 | Intraoral - complete series of radiographic images | 158 | 158 | $8K |
| D1206 | Topical application of fluoride varnish | 404 | 404 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 479 | 473 | $7K |
| D1110 | Prophylaxis - adult | 151 | 151 | $7K |
| D0140 | Limited oral evaluation - problem focused | 133 | 131 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 19 | 12 | $3K |
| D0274 | Bitewings - four radiographic images | 43 | 43 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 133 | 122 | $1K |