Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OR › Lebanon › NPI 1306493259
Dental

Ayala, Mikayla

Ayala, Mikayla was paid $78K by Medicaid between Sep 2021 and Jun 2024, across 22 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 24% of everything it billed.

33Billing provider infoAYALA, MIKAYLA
LEBANON, OR 97355
33aNPI1306493259assigned 08/23/2019
33bProvider typeDentist
28Total paid$78K
24GClaims13,472
24DCodes billed22
24AFirst – last monthSep 2021 – Jun 2024
Compared with peers

Next to other Dentist providers in Oregon

Rank by total paid#75 of 233
Median peer was paid$19K
This provider vs. median4.2×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
20211,417$9K
20224,317$32K
20235,363$26K
2024incomplete2,375$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0150 Comprehensive oral evaluation - new or established patient 24% 1,307 1,272 $19K
D0210 Intraoral - complete series of radiographic images 23% 711 711 $18K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 10% 474 440 $8K
D0140 Limited oral evaluation - problem focused 7.8% 614 598 $6K
D0603 5.8% 1,209 1,184 $5K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 5.8% 188 181 $5K
D2391 Resin-based composite - one surface, posterior, primary or permanent 4.9% 273 248 $4K
D0220 Intraoral - periapical first radiographic image 4.1% 1,636 1,593 $3K
D0330 Panoramic radiographic image 3.5% 1,009 979 $3K
D0230 Intraoral - periapical each additional radiographic image 2.6% 2,348 1,142 $2K
D0274 Bitewings - four radiographic images 2.5% 994 969 $2K
D1320 1.4% 290 284 $1K
10 more codes
D0120 Dental checkup, returning patient <1% 164 $672.00
D2335 <1% 14 $565.00
D1206 Topical application of fluoride varnish <1% 185 $551.00
D0602 <1% 109 $374.00
D1120 Dental cleaning, child <1% 81 $360.00
D0270 <1% 89 $220.00
D1110 Prophylaxis - adult <1% 12 $188.00
D0273 <1% 12 $69.00
D1310 <1% 878 $50.00
D1330 <1% 875 $50.00

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.