Dental
Edmundo Ayala, D.D.S a Dental Corporation
Edmundo Ayala, D.D.S a Dental Corporation was paid $106K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is D0230, Intraoral - periapical each additional radiographic image — 22% of everything it billed.
33Billing provider infoEDMUNDO AYALA, D.D.S A DENTAL CORPORATION
WINNETKA, CA 91306
WINNETKA, CA 91306
33aNPI1346435666assigned 09/10/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$106K
24GClaims8,414
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,530 of 2,668
Median peer was paid$173K
This provider vs. median0.6×
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.
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 | |
|---|---|---|---|
| 2018 | 1,106 | $8K | |
| 2019 | 503 | $5K | |
| 2020 | 593 | $5K | |
| 2021 | 930 | $7K | |
| 2022 | 1,278 | $17K | |
| 2023 | 1,506 | $23K | |
| 2024incomplete | 2,498 | $41K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0230 | Intraoral - periapical each additional radiographic image | 22% | 5,644 | 1,079 | $23K |
| D0150 | Comprehensive oral evaluation - new or established patient | 19% | 306 | 306 | $20K |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 458 | 458 | $19K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 301 | 301 | $19K |
| D1208 | Topical application of fluoride, excluding varnish | 9.1% | 767 | 767 | $10K |
| D0272 | Bitewings - two radiographic images | 7.8% | 708 | 708 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.4% | 56 | 24 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 1.9% | 41 | 41 | $2K |
| D0350 | <1% | 79 | 25 | $748.80 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 42 | 42 | $492.00 |
| D0274 | Bitewings - four radiographic images | <1% | 12 | 12 | $259.20 |
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 officialAYALA, EDMUNDO (CEO)