Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › MENAHGA › RESTEMAYER FAMILY DENTISTRY, PC

RESTEMAYER FAMILY DENTISTRY, PC

NPI: 1629169297 · MENAHGA, MN 56464 · General Practice Dentistry · NPI assigned 09/27/2006

$6K
Total Medicaid Paid
212
Total Claims
211
Beneficiaries
4
Codes Billed
2018-05
First Month
2024-05
Last Month

Provider Details

Authorized OfficialRESTEMAYER, CHARLES (DDS)
NPI Enumeration Date09/27/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 53 $172.70
2019 37 $1K
2022 13 $519.70
2023 81 $3K
2024 28 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 83 82 $4K
D0120 Periodic oral evaluation - established patient 78 78 $1K
D1206 Topical application of fluoride varnish 25 25 $448.58
D0220 Intraoral - periapical first radiographic image 26 26 $419.22