Dental
Professional Dental Alliance of CT - Pedo, PLLC
Professional Dental Alliance of CT - Pedo, PLLC was paid $2.05M by Medicaid between Oct 2023 and Dec 2024, across 22 billing codes. Its largest line is D1120, dental cleaning, child — 22% of everything it billed.
33Billing provider infoPROFESSIONAL DENTAL ALLIANCE OF CT - PEDO, PLLC
FAIRFIELD, CT 06824
FAIRFIELD, CT 06824
33aNPI1942088786assigned 09/21/2023
33bProvider typePediatric Dentist
28Total paid$2.05M
24GClaims52,056
24DCodes billed22
24AFirst – last monthOct 2023 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Connecticut
Rank by total paid#12 of 84
Median peer was paid$311K
This provider vs. median6.6×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
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 | |
|---|---|---|---|
| 2023 | 2,726 | $67K | |
| 2024incomplete | 49,330 | $1.98M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 11,885 | 10,822 | $454K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 11,005 | 10,005 | $320K |
| D1206 | Topical application of fluoride varnish | 14% | 11,674 | 10,604 | $279K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 3,094 | 1,938 | $272K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.2% | 2,535 | 1,654 | $189K |
| D0274 | Bitewings - four radiographic images | 3.8% | 1,868 | 1,735 | $77K |
| D0272 | Bitewings - two radiographic images | 3.3% | 2,483 | 2,286 | $67K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.1% | 367 | 85 | $64K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.8% | 1,167 | 962 | $57K |
| D0140 | Limited oral evaluation - problem focused | 2.7% | 1,305 | 1,213 | $55K |
| D0330 | Panoramic radiographic image | 1.6% | 466 | 441 | $34K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.3% | 504 | 452 | $27K |
10 more codes
| D9243 | 1.3% | 121 | $26K | |
| D1351 | Sealant - per tooth | 1.0% | 622 | $21K |
| D7240 | Removal of impacted tooth - completely bony | 1.0% | 143 | $21K |
| D0220 | Intraoral - periapical first radiographic image | 1.0% | 1,257 | $21K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 166 | $16K |
| D9420 | <1% | 143 | $12K | |
| D9310 | <1% | 480 | $10K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 594 | $9K |
| D9239 | <1% | 120 | $9K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 57 | $7K |
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 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 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.