Dental
Professional Dental Alliance Specialty, LLC
Professional Dental Alliance Specialty, LLC was paid $279K by Medicaid between Jan 2018 and Oct 2024, across 7 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 70% of everything it billed.
33Billing provider infoPROFESSIONAL DENTAL ALLIANCE SPECIALTY, LLC
BOARDMAN, OH 44512
BOARDMAN, OH 44512
33aNPI1861788945assigned 06/27/2011
33bProvider typeEndodontist
28Total paid$279K
24GClaims4,127
24DCodes billed7
24AFirst – last monthJan 2018 – Oct 2024
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 303 | $6K | |
| 2019 | 70 | $1K | |
| 2021 | 1,859 | $107K | |
| 2022 | 769 | $41K | |
| 2023 | 330 | $17K | |
| 2024incomplete | 796 | $107K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 70% | 2,671 | 553 | $194K |
| D7140 | Extraction, erupted tooth or exposed root | 16% | 856 | 217 | $45K |
| D7230 | 11% | 114 | 50 | $30K | |
| D0140 | Limited oral evaluation - problem focused | 2.2% | 334 | 229 | $6K |
| D9243 | <1% | 80 | 12 | $2K | |
| D0180 | <1% | 48 | 44 | $1K | |
| D8030 | 0% | 24 | 24 | $0.00 |
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)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.