Dental
Banks Pediatric Dentistry PLLC
Banks Pediatric Dentistry PLLC was paid $52K by Medicaid between Jan 2021 and Dec 2024, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 24% of everything it billed.
33Billing provider infoBANKS PEDIATRIC DENTISTRY PLLC
MESA, AZ 85209
MESA, AZ 85209
33aNPI1679049878assigned 10/16/2018
33bProvider typePediatric Dentist
28Total paid$52K
24GClaims8,185
24DCodes billed18
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#93 of 223
Median peer was paid$24K
This provider vs. median2.2×
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 | |
|---|---|---|---|
| 2021 | 627 | $1K | |
| 2022 | 146 | $366.60 | |
| 2023 | 1,582 | $4K | |
| 2024incomplete | 5,830 | $47K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 1,665 | 1,654 | $13K |
| D1206 | Topical application of fluoride varnish | 16% | 1,881 | 1,869 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 266 | 115 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 1,604 | 1,596 | $8K |
| D0272 | Bitewings - two radiographic images | 13% | 1,566 | 1,544 | $7K |
| D1351 | Sealant - per tooth | 3.3% | 282 | 76 | $2K |
| D0330 | Panoramic radiographic image | 2.6% | 77 | 77 | $1K |
| D1999 | 2.2% | 346 | 333 | $1K | |
| D1110 | Prophylaxis - adult | 1.6% | 67 | 67 | $853.43 |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 208 | 206 | $678.12 |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.1% | 33 | 14 | $591.02 |
| D0274 | Bitewings - four radiographic images | 1.0% | 70 | 70 | $538.23 |
6 more codes
| D7140 | Extraction, erupted tooth or exposed root | <1% | 24 | $446.70 |
| D0140 | Limited oral evaluation - problem focused | <1% | 44 | $405.42 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 13 | $208.25 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 13 | $159.01 |
| D0240 | <1% | 14 | $15.71 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 12 | $11.25 |
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 officialBANKS, BRIAN (DENTIST)