Clinic
Wade Melvin Banner D.M.D., INC
Wade Melvin Banner D.M.D., INC was paid $1.34M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is D9920, — 30% of everything it billed.
33Billing provider infoWADE MELVIN BANNER D.M.D., INC
GLENDORA, CA 91740
GLENDORA, CA 91740
33aNPI1417357518assigned 08/26/2014
33bProvider typeDental Clinic/Center
28Total paid$1.34M
24GClaims35,909
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#196 of 1,135
Median peer was paid$200K
This provider vs. median6.7×
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 | 1,871 | $45K | |
| 2019 | 4,164 | $202K | |
| 2020 | 2,865 | $120K | |
| 2021 | 4,291 | $145K | |
| 2022 | 5,508 | $189K | |
| 2023 | 8,652 | $333K | |
| 2024incomplete | 8,558 | $306K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9920 | 30% | 2,932 | 2,843 | $404K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 2,953 | 2,937 | $191K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 2,904 | 2,896 | $184K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.7% | 13,134 | 3,074 | $64K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.6% | 936 | 522 | $61K |
| D0210 | Intraoral - complete series of radiographic images | 4.4% | 1,259 | 1,251 | $58K |
| D1110 | Prophylaxis - adult | 4.2% | 654 | 645 | $56K |
| D4341 | 3.1% | 602 | 253 | $41K | |
| D4910 | 3.1% | 548 | 548 | $41K | |
| D0274 | Bitewings - four radiographic images | 3.0% | 1,948 | 1,932 | $40K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.4% | 616 | 326 | $32K |
| D9410 | 2.2% | 1,155 | 1,130 | $29K |
15 more codes
| D1206 | Topical application of fluoride varnish | 1.9% | 1,615 | $25K |
| D9993 | 1.7% | 352 | $22K | |
| D1120 | Dental cleaning, child | 1.4% | 567 | $19K |
| D9430 | 1.2% | 529 | $16K | |
| D1310 | 1.2% | 352 | $16K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 170 | $10K |
| D0350 | <1% | 1,062 | $9K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 469 | $5K |
| D0602 | <1% | 236 | $4K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 38 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 56 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 41 | $3K |
| D0603 | <1% | 78 | $1K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 12 | $159.25 |
| D9996 | 0% | 691 | $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.
From NPPES
Who's on the registration
Authorized officialBANNER, WADE (OWNER)