Dental
Banks, Peter
Banks, Peter was paid $137K by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 33% of everything it billed.
33Billing provider infoBANKS, PETER
PAGE, AZ 86040
PAGE, AZ 86040
33aNPI1760590970assigned 08/28/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$137K
24GClaims4,332
24DCodes billed10
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Arizona
Rank by total paid#72 of 530
Median peer was paid$920.17
This provider vs. median149×
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 | 1,310 | $35K | |
| 2019 | 666 | $20K | |
| 2020 | 591 | $23K | |
| 2021 | 573 | $19K | |
| 2022 | 555 | $18K | |
| 2023 | 406 | $14K | |
| 2024incomplete | 231 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 33% | 1,409 | 1,393 | $45K |
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 631 | 614 | $33K |
| D1206 | Topical application of fluoride varnish | 20% | 1,531 | 1,504 | $27K |
| D1110 | Prophylaxis - adult | 9.0% | 287 | 279 | $12K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.1% | 71 | 41 | $8K |
| D0274 | Bitewings - four radiographic images | 4.1% | 164 | 160 | $6K |
| D0272 | Bitewings - two radiographic images | 1.7% | 104 | 102 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 1.6% | 59 | 50 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 63 | 60 | $980.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 13 | 13 | $215.00 |
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.