Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Iowa for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Iowa only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Iowa (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Hilary Reynolds Dds PC (NPI 1518375328)

Field	Value
Entity Type	Organization
Organization	Hilary Reynolds Dds PC
Address	1601 4th Avenue South
City	Clear Lake
State	IA
ZIP	50428
Taxonomy	Pediatric Dentistry
NPI Enumerated	July 24, 2014

Payer Source	Total Paid
Medicaid	$2.2M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	14,120	$30	$409.3K
D2930	N/A	2,880	$110	$316.8K
D0120	Periodic oral evaluation - established patient	11,520	$20	$242K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2,900	$60	$162.1K
D1208	Topical application of fluoride - excluding varnish	9,290	$20	$148.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	6,940	$20	$131.9K
D2391	Resin‑based composite – one surface, posterior	2,080	$60	$128.9K
D0150	Comprehensive oral evaluation – new or established patient	4,480	$30	$120.8K
D0330	N/A	2,180	$50	$102.6K
D0272	N/A	5,150	$20	$92.6K

Showing 1–10 of 20

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Iowa providers billing the same CPT/HCPCS codes.

Claims Volume vs. Iowa Distribution

Hilary Reynolds Dds PC — 4 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. Iowa median

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	15	80	850	$110	$217.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	22	170	330	$50	$88.3K
D1351	Sealant - per tooth	67	190	750	$20	$60.2K
D2392	Post 2 surface resin‑based composite	61	210	230	$60	$58.6K
D1120	Prophylaxis–child	14	580	310	$20	$43.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	88	630	370	$30	$36.8K
D2391	Resin‑based composite – one surface, posterior	22	190	210	$40	$34.7K
D0120	Periodic oral evaluation - established patient	27	830	530	$20	$34.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	56	630	500	$10	$33.3K
D9310	N/A	15	30	350	$30	$32.2K

Showing 1–10 of 20

Nearby Providers

Other providers in the same ZIP code as Hilary Reynolds Dds PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Handicap Village	IA	Community/Behavioral Health Agency	$0	$85.3M
Handicap Village	IA	Community/Behavioral Health Agency	$0	$5.8M
Apple Valley Assisted Living LLC.	IA	Point of Service	$0	$1.6M
City Of Clear Lake City Clerk	IA	Land Ambulance	$201.8K	$23.1K
John Brady	IA	Family Medicine Physician	$128.8K	$14.9K
Christopher Fischer	IA	Physical Therapist	$135.1K	$0
White Drug Enterprises Inc	IA	Community/Retail Pharmacy	$132.5K	$680
Briley Downing	IA	Physical Therapist	$93.4K	$0
Nicholas Mccolley	IA	Chiropractor	$70.1K	$2.9K

Hilary Reynolds Dds PC — Billing Profile & Reimbursement Data

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Hilary Reynolds Dds PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References