NPI: 1891207098 · FARMINGTON, MI 48336 · Dentist · NPI assigned 10/27/2017
Authorized official QUINTEROS, ERICA controls 13+ related entities in our dataset. Read more
| Authorized Official | QUINTEROS, ERICA (CREDENTIALING) |
| NPI Enumeration Date | 10/27/2017 |
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 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 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 |
|---|---|---|
| 2020 | 96 | $2K |
| 2021 | 557 | $15K |
| 2022 | 691 | $21K |
| 2023 | 3,170 | $215K |
| 2024 | 2,518 | $126K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 134 | 84 | $91K |
| D2950 | 382 | 241 | $61K | |
| D1110 | Prophylaxis - adult | 977 | 976 | $48K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 265 | 144 | $27K |
| D0120 | Periodic oral evaluation - established patient | 1,000 | 1,000 | $26K |
| D0140 | Limited oral evaluation - problem focused | 633 | 624 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | 490 | 489 | $19K |
| D0210 | Intraoral - complete series of radiographic images | 284 | 283 | $19K |
| D0220 | Intraoral - periapical first radiographic image | 1,165 | 1,134 | $17K |
| D0274 | Bitewings - four radiographic images | 450 | 449 | $14K |
| D1351 | Sealant - per tooth | 323 | 37 | $9K |
| D4341 | 49 | 14 | $8K | |
| D0230 | Intraoral - periapical each additional radiographic image | 490 | 445 | $4K |
| D1206 | Topical application of fluoride varnish | 238 | 238 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 16 | 12 | $2K |
| D0330 | Panoramic radiographic image | 29 | 29 | $2K |
| D4910 | 26 | 26 | $2K | |
| D1120 | Prophylaxis - child | 52 | 52 | $2K |
| D1999 | 29 | 28 | $0.00 |