Skip to content

Susan Kay Banta

NPI 1528275799ActiveIndividual· Dentist, Periodontics· Wilmington, NC

Dentist, Periodontics in Wilmington, North Carolina, licensed in NC, with an NPI issued in May 2007. Enrolled in Medicare as order and referring only - oral surgery.

Overview

NPI1528275799
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedMay 17, 2007
Last updated in NPPESJul 8, 2007

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Periodontics Primary1223P0300X5375NC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Order and Referring Only - Oral Surgery (NC)

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other periodontists in Wilmington

All periodontists in North Carolina