Ajala, Bisola

Ajala, Bisola was paid $73K by Medicaid between Nov 2020 and Sep 2021, across 15 billing codes. Its largest line is D1351, Sealant - per tooth — 20% of everything it billed.

33Billing provider infoAJALA, BISOLA
MISSOURI CITY, TX 77459

33aNPI1972081032assigned 08/01/2018

33bProvider typeDentist

28Total paid$73K

24GClaims3,382

24DCodes billed15

24AFirst – last monthNov 2020 – Sep 2021

Compared with peers

Next to other Dentist providers in Texas

Rank by total paid#685 of 1,678

Median peer was paid$35K

This provider vs. median2.1×

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
2020	675	$15K
2021	2,707	$58K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1351	Sealant - per tooth	20%	614	122	$15K
D1110	Prophylaxis - adult	16%	361	361	$12K
D0274	Bitewings - four radiographic images	14%	397	397	$10K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	14%	537	537	$10K
D1120	Dental cleaning, childProphylaxis - child	7.8%	261	261	$6K
D1206	Topical application of fluoride varnish	4.2%	174	174	$3K
D0150	Comprehensive oral evaluation - new or established patient	4.1%	154	154	$3K
D1208	Topical application of fluoride, excluding varnish	3.8%	169	169	$3K
D2391	Resin-based composite - one surface, posterior, primary or permanent	3.8%	61	37	$3K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	3.7%	51	29	$3K
D0220	Intraoral - periapical first radiographic image	3.7%	358	356	$3K
D0230	Intraoral - periapical each additional radiographic image	1.8%	167	159	$1K

3 more codes

D0140	Limited oral evaluation - problem focused	<1%	36	$612.40
D0210	Intraoral - complete series of radiographic images	<1%	12	$517.33
D0272	Bitewings - two radiographic images	<1%	30	$470.96

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.