Reynolds Dental Practice

Reynolds Dental Practice was paid $662.07 by Medicaid between Sep 2021 and Nov 2021, across 5 billing codes. Its largest line is D1120, dental cleaning, child — 49% of everything it billed.

33Billing provider infoREYNOLDS DENTAL PRACTICE
FOREST, MS 39074

33aNPI1649435116assigned 07/24/2008

33bProvider typeGeneral Practice Dentistry

28Total paid$662.07

24GClaims249

24DCodes billed5

24AFirst – last monthSep 2021 – Nov 2021

Compared with peers

Next to other General Practice Dentistry providers in Mississippi

Rank by total paid#350 of 379

Median peer was paid$78K

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	249	$662.07

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	49%	90	84	$322.60
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	36	31	$97.78
D0274	Bitewings - four radiographic images	14%	12	12	$96.00
D0140	Limited oral evaluation - problem focused	14%	34	26	$90.69
D1206	Topical application of fluoride varnish	8.3%	77	70	$55.00

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.

From NPPES

Who's on the registration

Authorized officialREYNOLDS, RANDALL (DOCTOR/OWNER)