Dental
Ayuso, Selene
Ayuso, Selene was paid $265K by Medicaid between Oct 2023 and Dec 2024, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 19% of everything it billed.
33Billing provider infoAYUSO, SELENE
SPRINGFIELD, PA 19064
SPRINGFIELD, PA 19064
33aNPI1215552633assigned 06/11/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$265K
24GClaims10,393
24DCodes billed19
24AFirst – last monthOct 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#131 of 847
Median peer was paid$37K
This provider vs. median7.2×
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.
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 | 472 | $8K | |
| 2024incomplete | 9,921 | $256K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 1,487 | 1,367 | $49K |
| D1206 | Topical application of fluoride varnish | 15% | 1,854 | 1,715 | $39K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 1,464 | 1,382 | $34K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 9.4% | 485 | 459 | $25K |
| D1110 | Prophylaxis - adult | 7.2% | 453 | 442 | $19K |
| D1330 | 7.0% | 1,546 | 1,532 | $19K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.8% | 278 | 213 | $18K |
| D0274 | Bitewings - four radiographic images | 5.5% | 602 | 570 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.6% | 419 | 399 | $10K |
| D0240 | 3.1% | 638 | 305 | $8K | |
| D0272 | Bitewings - two radiographic images | 3.0% | 501 | 469 | $8K |
| D1351 | Sealant - per tooth | 2.4% | 237 | 76 | $6K |
7 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.9% | 84 | $5K |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 57 | $3K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.1% | 23 | $3K |
| D0330 | Panoramic radiographic image | <1% | 91 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 18 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 144 | $1K |
| D0601 | 0% | 12 | $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.