Dental
Jessie Banks DDS PS
Jessie Banks DDS PS was paid $929K by Medicaid between Jan 2018 and Jun 2021, across 21 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 36% of everything it billed.
33Billing provider infoJESSIE BANKS DDS PS
BREMERTON, WA 98311
BREMERTON, WA 98311
33aNPI1780956227assigned 01/30/2012
33bProvider typePediatric Dentist
28Total paid$929K
24GClaims32,551
24DCodes billed21
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers
Next to other Pediatric Dentist providers in Washington
Rank by total paid#60 of 156
Median peer was paid$337K
This provider vs. median2.8×
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 | 10,848 | $269K | |
| 2019 | 9,704 | $296K | |
| 2020 | 8,157 | $255K | |
| 2021 | 3,842 | $110K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 36% | 2,981 | 794 | $330K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 5,490 | 5,395 | $129K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 5,288 | 5,193 | $115K |
| D1206 | Topical application of fluoride varnish | 9.8% | 5,613 | 5,513 | $91K |
| D1351 | Sealant - per tooth | 7.5% | 3,476 | 907 | $69K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.8% | 850 | 372 | $54K |
| D0272 | Bitewings - two radiographic images | 3.1% | 2,907 | 2,813 | $28K |
| D0140 | Limited oral evaluation - problem focused | 3.0% | 1,466 | 1,411 | $27K |
| D9999 | Unspecified adjunctive procedure, by report | 2.1% | 793 | 774 | $20K |
| D7140 | Extraction, erupted tooth or exposed root | 2.0% | 349 | 182 | $19K |
| D0240 | 1.4% | 1,766 | 849 | $13K | |
| D0330 | Panoramic radiographic image | 1.0% | 261 | 252 | $10K |
9 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.0% | 195 | $10K |
| D1110 | Prophylaxis - adult | <1% | 129 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 382 | $3K |
| D9248 | <1% | 53 | $2K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 63 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 131 | $2K |
| D1354 | <1% | 323 | $930.00 | |
| D9995 | <1% | 14 | $110.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 21 | $49.77 |
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, JESSIE (OWNER)