Dental
Grupo Dental Ayala Del Rio CSP
Grupo Dental Ayala Del Rio CSP was paid $439K by Medicaid between Nov 2018 and Nov 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.
33Billing provider infoGRUPO DENTAL AYALA DEL RIO CSP
FAJARDO, PR 00738
FAJARDO, PR 00738
33aNPI1417009846assigned 01/17/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$439K
24GClaims24,046
24DCodes billed13
24AFirst – last monthNov 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Puerto Rico
Rank by total paid#75 of 551
Median peer was paid$99K
This provider vs. median4.4×
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 | 312 | $5K | |
| 2019 | 6,168 | $106K | |
| 2020 | 1,759 | $37K | |
| 2021 | 3,128 | $58K | |
| 2022 | 2,880 | $49K | |
| 2023 | 4,272 | $77K | |
| 2024incomplete | 5,527 | $107K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 30% | 4,651 | 3,590 | $130K |
| D1999 | 15% | 4,409 | 3,544 | $64K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 3,656 | 2,748 | $51K |
| D0272 | Bitewings - two radiographic images | 9.9% | 3,097 | 2,351 | $44K |
| D0330 | Panoramic radiographic image | 9.4% | 1,375 | 1,096 | $41K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.3% | 1,557 | 1,231 | $32K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.3% | 1,479 | 756 | $23K |
| D1208 | Topical application of fluoride, excluding varnish | 4.6% | 1,438 | 1,017 | $20K |
| D1351 | Sealant - per tooth | 2.2% | 649 | 76 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 1,087 | 761 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.8% | 439 | 287 | $8K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.6% | 184 | 68 | $7K |
1 more codes
| D7140 | Extraction, erupted tooth or exposed root | <1% | 25 | $1K |
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, JAVIER (PRESIDENT)