Banks, Jessie

Banks, Jessie was paid $70K by Medicaid between Jan 2018 and May 2021, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 34% of everything it billed.

33Billing provider infoBANKS, JESSIE
BREMERTON, WA 98311

33aNPI1326180811assigned 02/13/2007

33bProvider typePediatric Dentist

28Total paid$70K

24GClaims3,753

24DCodes billed8

24AFirst – last monthJan 2018 – May 2021

Compared with peers

Next to other Pediatric Dentist providers in Washington

Rank by total paid#102 of 156

Median peer was paid$337K

This provider vs. median0.2×

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	1,469	$27K
2019	1,834	$35K
2020	260	$5K
2021	190	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	34%	1,057	1,048	$24K
D1120	Dental cleaning, childProphylaxis - child	30%	987	976	$21K
D1206	Topical application of fluoride varnish	23%	1,083	1,068	$16K
D1351	Sealant - per tooth	4.7%	163	44	$3K
D0272	Bitewings - two radiographic images	4.6%	323	323	$3K
D0140	Limited oral evaluation - problem focused	2.6%	100	98	$2K
D0330	Panoramic radiographic image	<1%	15	14	$595.70
D0240		<1%	25	13	$204.93

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.