Dental
Restoreu LLC
Restoreu LLC was paid $108.04 by Medicaid between May 2023 and May 2023, across 1 billing code. Its largest line is D0120, dental checkup, returning patient — 100% of everything it billed.
33Billing provider infoRESTOREU LLC
SOUTH SIOUX CITY, NE 68776
SOUTH SIOUX CITY, NE 68776
33aNPI1467155333assigned 03/22/2023
33bProvider typeGeneral Practice Dentistry
28Total paid$108.04
24GClaims31
24DCodes billed1
24AFirst – last monthMay 2023 – May 2023
Compared with peers
Next to other General Practice Dentistry providers in Nebraska
Rank by total paid#200 of 201
Median peer was paid$21K
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 | |
|---|---|---|---|
| 2023 | 31 | $108.04 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 100% | 31 | 14 | $108.04 |
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 officialBALLER, RYAN (OWNER/DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Baller and Wineland LLC | Sioux City, IA | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.