REYNOLDS FAMILY DENTISTRY, PA
NPI: 1275748063
· CLINTON, SC 29325
· General Practice Dentistry
· NPI assigned 05/14/2007
$236K
Total Medicaid Paid
Provider Details
| Authorized Official | REYNOLDS, SETH (DENTIST, PRESIDENT) |
| NPI Enumeration Date | 05/14/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,442 |
$36K |
| 2019 |
1,568 |
$40K |
| 2020 |
1,352 |
$34K |
| 2021 |
1,549 |
$39K |
| 2022 |
1,328 |
$35K |
| 2023 |
1,286 |
$33K |
| 2024 |
716 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,524 |
1,524 |
$75K |
| D0120 |
Periodic oral evaluation - established patient |
2,545 |
2,545 |
$58K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,384 |
2,384 |
$39K |
| D0272 |
Bitewings - two radiographic images |
2,029 |
2,029 |
$38K |
| D1120 |
Prophylaxis - child |
676 |
676 |
$23K |
| D0274 |
Bitewings - four radiographic images |
54 |
54 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
29 |
29 |
$1K |