Dental
Ayala-Cosme, Eileen
Ayala-Cosme, Eileen was paid $176K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 24% of everything it billed.
33Billing provider infoAYALA-COSME, EILEEN
BAYAMON, PR 00959
BAYAMON, PR 00959
33aNPI1568585461assigned 04/08/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$176K
24GClaims11,919
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Puerto Rico
Rank by total paid#205 of 551
Median peer was paid$99K
This provider vs. median1.8×
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 | 2,532 | $30K | |
| 2019 | 2,772 | $44K | |
| 2020 | 1,377 | $24K | |
| 2021 | 1,705 | $26K | |
| 2022 | 1,537 | $22K | |
| 2023 | 1,140 | $15K | |
| 2024incomplete | 856 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 24% | 1,694 | 1,577 | $43K |
| D1999 | 17% | 2,178 | 1,893 | $31K | |
| D0272 | Bitewings - two radiographic images | 9.5% | 1,217 | 1,127 | $17K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 8.8% | 491 | 303 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.7% | 803 | 742 | $15K |
| D2140 | 8.2% | 549 | 306 | $14K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.7% | 935 | 855 | $12K |
| D0220 | Intraoral - periapical first radiographic image | 6.4% | 1,625 | 1,512 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.4% | 1,957 | 1,379 | $11K |
| D1208 | Topical application of fluoride, excluding varnish | 3.0% | 395 | 361 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 63 | 59 | $984.35 |
| D0140 | Limited oral evaluation - problem focused | <1% | 12 | 12 | $207.02 |
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.