Dental
Banta, Thomas
Banta, Thomas was paid $383K by Medicaid between Jan 2018 and Jun 2023, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 25% of everything it billed.
33Billing provider infoBANTA, THOMAS
PORTLAND, IN 47371
PORTLAND, IN 47371
33aNPI1407835382assigned 01/10/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$383K
24GClaims10,863
24DCodes billed15
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#147 of 723
Median peer was paid$60K
This provider vs. median6.4×
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 | 1,516 | $9K | |
| 2019 | 1,984 | $80K | |
| 2020 | 1,775 | $66K | |
| 2021 | 1,668 | $61K | |
| 2022 | 1,894 | $75K | |
| 2023 | 2,026 | $92K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 25% | 2,199 | 2,040 | $94K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 864 | 510 | $55K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 2,437 | 2,254 | $47K |
| D0210 | Intraoral - complete series of radiographic images | 9.3% | 535 | 491 | $36K |
| D1208 | Topical application of fluoride, excluding varnish | 7.7% | 1,630 | 1,515 | $29K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.2% | 580 | 359 | $27K |
| D0274 | Bitewings - four radiographic images | 6.1% | 722 | 672 | $23K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.2% | 723 | 669 | $20K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.5% | 524 | 478 | $17K |
| D7140 | Extraction, erupted tooth or exposed root | 3.7% | 164 | 75 | $14K |
| D0140 | Limited oral evaluation - problem focused | 3.5% | 343 | 303 | $14K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 36 | 24 | $3K |
3 more codes
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.