NPI: 1750938072 · PORT ST LUCIE, FL 34983 · General Practice Dentistry · NPI assigned 08/21/2019
Authorized official QUINTEROS, ERICA controls 13+ related entities in our dataset. Read more
| Authorized Official | QUINTEROS, ERICA (CREDENTIALING) |
| NPI Enumeration Date | 08/21/2019 |
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 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 | 650 | $3K |
| 2024 | 15,905 | $141K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 2,232 | 1,893 | $17K |
| D1120 | Prophylaxis - child | 1,414 | 1,186 | $17K |
| D0120 | Periodic oral evaluation - established patient | 1,996 | 1,693 | $17K |
| D1110 | Prophylaxis - adult | 915 | 785 | $16K |
| D1351 | Sealant - per tooth | 1,779 | 386 | $14K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 432 | 243 | $13K |
| D0240 | 848 | 543 | $11K | |
| D0330 | Panoramic radiographic image | 402 | 353 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 240 | 199 | $6K |
| D0274 | Bitewings - four radiographic images | 956 | 811 | $5K |
| D1330 | 2,240 | 1,898 | $4K | |
| D0272 | Bitewings - two radiographic images | 672 | 562 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 117 | 75 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 114 | 101 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 1,106 | 929 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 1,008 | 845 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | 68 | 41 | $1K |
| D0140 | Limited oral evaluation - problem focused | 16 | 16 | $78.88 |