Dental
Reynolds, Jack
Reynolds, Jack was paid $537.63 by Medicaid between Nov 2021 and Nov 2021, across 2 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 54% of everything it billed.
33Billing provider infoREYNOLDS, JACK
RICHMOND, IN 47374
RICHMOND, IN 47374
33aNPI1295825123assigned 10/13/2006
33bProvider typePediatric Dentist
28Total paid$537.63
24GClaims31
24DCodes billed2
24AFirst – last monthNov 2021 – Nov 2021
Compared with peers
Next to other Pediatric Dentist providers in Indiana
Rank by total paid#147 of 155
Median peer was paid$414K
This provider vs. median0.0×
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 | 31 | $537.63 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 54% | 17 | 15 | $289.25 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 46% | 14 | 12 | $248.38 |
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.