Dental
Jack J. Reynolds JR. D.D.S., LLC
Jack J. Reynolds JR. D.D.S., LLC was paid $414K by Medicaid between Jan 2018 and Jun 2021, across 23 billing codes. Its largest line is D1120, dental cleaning, child — 18% of everything it billed.
33Billing provider infoJACK J. REYNOLDS JR. D.D.S., LLC
RICHMOND, IN 47374
RICHMOND, IN 47374
33aNPI1932569415assigned 02/26/2016
33bProvider typePediatric Dentist
28Total paid$414K
24GClaims21,071
24DCodes billed23
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers
Next to other Pediatric Dentist providers in Indiana
Rank by total paid#78 of 155
Median peer was paid$414K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2018 | 6,074 | $15K | |
| 2019 | 7,979 | $216K | |
| 2020 | 6,506 | $172K | |
| 2021 | 512 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 3,321 | 3,043 | $74K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 4,126 | 3,755 | $63K |
| D1206 | Topical application of fluoride varnish | 14% | 3,083 | 2,787 | $58K |
| D7140 | Extraction, erupted tooth or exposed root | 11% | 861 | 444 | $44K |
| D1110 | Prophylaxis - adult | 9.5% | 1,185 | 1,054 | $39K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.9% | 1,530 | 1,313 | $25K |
| D0272 | Bitewings - two radiographic images | 5.8% | 1,442 | 1,317 | $24K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.4% | 118 | 73 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.3% | 562 | 519 | $14K |
| D1351 | Sealant - per tooth | 2.8% | 535 | 141 | $12K |
| D0140 | Limited oral evaluation - problem focused | 2.2% | 424 | 370 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.1% | 1,409 | 415 | $9K |
11 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 857 | $7K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.2% | 72 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 61 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 75 | $3K |
| D9248 | <1% | 163 | $3K | |
| D0170 | <1% | 201 | $3K | |
| D0330 | Panoramic radiographic image | <1% | 51 | $3K |
| D1354 | <1% | 114 | $2K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 817 | $985.16 |
| D7111 | <1% | 34 | $72.25 | |
| D8670 | Periodic orthodontic treatment visit | 0% | 30 | $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, JACK (OWNER)