Clinic
Reynolds Oral & Maxillofacial Surgery, INC
Reynolds Oral & Maxillofacial Surgery, INC was paid $39K by Medicaid between Sep 2021 and Oct 2024, across 11 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 36% of everything it billed.
33Billing provider infoREYNOLDS ORAL & MAXILLOFACIAL SURGERY, INC
PRINCETON, WV 24740
PRINCETON, WV 24740
33aNPI1831784883assigned 03/02/2021
33bProvider typeOral and Maxillofacial Surgery Clinic/Center
28Total paid$39K
24GClaims1,006
24DCodes billed11
24AFirst – last monthSep 2021 – Oct 2024
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 | 26 | $0.00 | |
| 2023 | 207 | $3K | |
| 2024incomplete | 773 | $37K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 36% | 168 | 28 | $14K |
| D7240 | Removal of impacted tooth - completely bony | 32% | 46 | 13 | $12K |
| D0330 | Panoramic radiographic image | 11% | 106 | 101 | $4K |
| D0140 | Limited oral evaluation - problem focused | 8.5% | 121 | 116 | $3K |
| D9222 | 5.6% | 17 | 16 | $2K | |
| D7922 | 4.4% | 399 | 82 | $2K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 2.8% | 16 | 16 | $1K |
| D9215 | 0% | 87 | 80 | $0.00 | |
| D9612 | 0% | 16 | 16 | $0.00 | |
| D9610 | 0% | 15 | 15 | $0.00 | |
| D9219 | 0% | 15 | 15 | $0.00 |
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, KRISTOPHER (OWNER)