PROFESSIONAL DENTAL ALLIANCE SPECIALTY, LLC
NPI: 1861788945
· BOARDMAN, OH 44512
· Endodontist
· NPI assigned 06/27/2011
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official QUINTEROS, ERICA controls 13+ related entities in our dataset. Read more
$279K
Total Medicaid Paid
Provider Details
| Authorized Official | QUINTEROS, ERICA (CREDENTIALING) |
| NPI Enumeration Date | 06/27/2011 |
Related Entities
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 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 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
303 |
$6K |
| 2019 |
70 |
$1K |
| 2021 |
1,859 |
$107K |
| 2022 |
769 |
$41K |
| 2023 |
330 |
$17K |
| 2024 |
796 |
$107K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
2,671 |
553 |
$194K |
| D7140 |
Extraction, erupted tooth or exposed root |
856 |
217 |
$45K |
| D7230 |
|
114 |
50 |
$30K |
| D0140 |
Limited oral evaluation - problem focused |
334 |
229 |
$6K |
| D9243 |
|
80 |
12 |
$2K |
| D0180 |
|
48 |
44 |
$1K |
| D8030 |
|
24 |
24 |
$0.00 |