Dental
Ayala, Javier
Ayala, Javier was paid $263K by Medicaid between Jan 2018 and Jul 2022, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 22% of everything it billed.
33Billing provider infoAYALA, JAVIER
FAJARDO, PR 00738
FAJARDO, PR 00738
33aNPI1467459586assigned 07/05/2005
33bProvider typeGeneral Practice Dentistry
28Total paid$263K
24GClaims16,429
24DCodes billed14
24AFirst – last monthJan 2018 – Jul 2022
Compared with peers
Next to other General Practice Dentistry providers in Puerto Rico
Rank by total paid#146 of 551
Median peer was paid$99K
This provider vs. median2.7×
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 | 6,464 | $87K | |
| 2019 | 71 | $1K | |
| 2020 | 69 | $2K | |
| 2021 | 6,786 | $121K | |
| 2022 | 3,039 | $52K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 22% | 2,304 | 1,999 | $58K |
| D1999 | 11% | 2,001 | 1,822 | $28K | |
| D0330 | Panoramic radiographic image | 10% | 936 | 808 | $26K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.1% | 1,849 | 1,611 | $24K |
| D0272 | Bitewings - two radiographic images | 9.0% | 1,704 | 1,470 | $24K |
| D1351 | Sealant - per tooth | 7.4% | 1,356 | 193 | $20K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.3% | 982 | 825 | $19K |
| D1208 | Topical application of fluoride, excluding varnish | 5.7% | 1,044 | 887 | $15K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.6% | 2,316 | 680 | $15K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 4.7% | 373 | 206 | $12K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.5% | 525 | 434 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 813 | 687 | $5K |
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.