Dental
Seunghan Derek Song, DMD, PC
Seunghan Derek Song, DMD, PC was paid $1K by Medicaid between Nov 2019 and Nov 2019, across 3 billing codes. Its largest line is D1120, dental cleaning, child — 48% of everything it billed.
33Billing provider infoSEUNGHAN DEREK SONG, DMD, PC
BURLINGTON, MA 01803
BURLINGTON, MA 01803
33aNPI1104481761assigned 05/08/2019
33bProvider typeDentist
28Total paid$1K
24GClaims36
24DCodes billed3
24AFirst – last monthNov 2019 – Nov 2019
Compared with peers
Next to other Dentist providers in Massachusetts
Rank by total paid#361 of 413
Median peer was paid$93K
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 | |
|---|---|---|---|
| 2019 | 36 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 48% | 12 | 12 | $612.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 27% | 12 | 12 | $348.00 |
| D1206 | Topical application of fluoride varnish | 25% | 12 | 12 | $312.00 |
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 officialSONG, SEUNGHAN (DENTIST/OWNER)