REYNOLDS DENTAL PRACTICE
NPI: 1649435116
· FOREST, MS 39074
· General Practice Dentistry
· NPI assigned 07/24/2008
$662.07
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
249 |
$662.07 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
90 |
84 |
$322.60 |
| D0120 |
Periodic oral evaluation - established patient |
36 |
31 |
$97.78 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$96.00 |
| D0140 |
Limited oral evaluation - problem focused |
34 |
26 |
$90.69 |
| D1206 |
Topical application of fluoride varnish |
77 |
70 |
$55.00 |