Dental
Banahan, Jackie
Banahan, Jackie was paid $859K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D1120, dental cleaning, child — 19% of everything it billed.
33Billing provider infoBANAHAN, JACKIE
LEXINGTON, KY 40513
LEXINGTON, KY 40513
33aNPI1093866154assigned 01/16/2007
33bProvider typePediatric Dentist
28Total paid$859K
24GClaims25,247
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Kentucky
Rank by total paid#47 of 134
Median peer was paid$467K
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 | 7,101 | $237K | |
| 2019 | 6,197 | $217K | |
| 2020 | 7,059 | $257K | |
| 2021 | 4,197 | $123K | |
| 2023 | 399 | $14K | |
| 2024incomplete | 294 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 3,683 | 3,505 | $167K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 19% | 2,155 | 954 | $161K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.0% | 3,714 | 3,475 | $77K |
| D9248 | 7.8% | 704 | 611 | $67K | |
| D1208 | Topical application of fluoride, excluding varnish | 6.9% | 4,098 | 3,826 | $59K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.6% | 753 | 408 | $48K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.6% | 1,571 | 1,294 | $48K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.9% | 420 | 259 | $42K |
| D1110 | Prophylaxis - adult | 3.7% | 876 | 767 | $32K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.3% | 1,140 | 1,066 | $28K |
| D0272 | Bitewings - two radiographic images | 3.2% | 1,613 | 1,499 | $27K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.5% | 369 | 230 | $21K |
11 more codes
| D1351 | Sealant - per tooth | 1.8% | 875 | $15K |
| D7140 | Extraction, erupted tooth or exposed root | 1.8% | 338 | $15K |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 1,147 | $11K |
| D2332 | 1.3% | 138 | $11K | |
| D1206 | Topical application of fluoride varnish | 1.0% | 560 | $9K |
| D0330 | Panoramic radiographic image | <1% | 197 | $7K |
| D0274 | Bitewings - four radiographic images | <1% | 191 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 84 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 492 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 34 | $756.15 |
| D1330 | 0% | 95 | $0.00 |
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.