NPI: 1962995449 · NORWALK, CT 06851 · General Practice Dentistry · NPI assigned 06/11/2018
Authorized official QUINTEROS, ERICA controls 13+ related entities in our dataset. Read more
| Authorized Official | QUINTEROS, ERICA (CREDENTIALING) |
| NPI Enumeration Date | 06/11/2018 |
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 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 |
|---|---|---|
| 2018 | 556 | $19K |
| 2019 | 1,815 | $61K |
| 2020 | 1,102 | $41K |
| 2021 | 1,537 | $55K |
| 2022 | 1,523 | $51K |
| 2023 | 1,571 | $50K |
| 2024 | 1,325 | $45K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 3,199 | 2,963 | $130K |
| D0120 | Periodic oral evaluation - established patient | 2,379 | 2,183 | $72K |
| D1208 | Topical application of fluoride, excluding varnish | 2,779 | 2,593 | $66K |
| D0274 | Bitewings - four radiographic images | 731 | 680 | $31K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 98 | 50 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 84 | 41 | $7K |
| D0330 | Panoramic radiographic image | 69 | 64 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 61 | 59 | $4K |
| D0140 | Limited oral evaluation - problem focused | 15 | 12 | $520.32 |
| D1206 | Topical application of fluoride varnish | 14 | 12 | $332.62 |