Restemayer Family Dentistry, PC

Restemayer Family Dentistry, PC was paid $6K by Medicaid between May 2018 and May 2024, across 4 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 61% of everything it billed.

33Billing provider infoRESTEMAYER FAMILY DENTISTRY, PC
MENAHGA, MN 56464

33aNPI1629169297assigned 09/27/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$6K

24GClaims212

24DCodes billed4

24AFirst – last monthMay 2018 – May 2024

Compared with peers

Next to other General Practice Dentistry providers in Minnesota

Rank by total paid#234 of 368

Median peer was paid$19K

This provider vs. median0.3×

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	53	$172.70
2019	37	$1K
2022	13	$519.70
2023	81	$3K
2024incomplete	28	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0140	Limited oral evaluation - problem focused	61%	83	82	$4K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	25%	78	78	$1K
D1206	Topical application of fluoride varnish	7.5%	25	25	$448.58
D0220	Intraoral - periapical first radiographic image	7.0%	26	26	$419.22

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 officialRESTEMAYER, CHARLES (DDS)