Dental
Song, Myoungsu
Song, Myoungsu was paid $719K by Medicaid between Nov 2020 and Dec 2024, across 24 billing codes. Its largest line is D1120, dental cleaning, child — 13% of everything it billed.
33Billing provider infoSONG, MYOUNGSU
CHAMPAIGN, IL 61820
CHAMPAIGN, IL 61820
33aNPI1154932218assigned 08/12/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$719K
24GClaims30,202
24DCodes billed24
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#182 of 1,017
Median peer was paid$123K
This provider vs. median5.8×
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 | |
|---|---|---|---|
| 2020 | 2,052 | $37K | |
| 2021 | 13,573 | $319K | |
| 2022 | 13,585 | $361K | |
| 2023 | 486 | $92.53 | |
| 2024incomplete | 506 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 2,623 | 2,516 | $96K |
| D1351 | Sealant - per tooth | 13% | 1,594 | 711 | $95K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 2,884 | 2,724 | $77K |
| D7140 | Extraction, erupted tooth or exposed root | 10% | 1,405 | 768 | $75K |
| D1206 | Topical application of fluoride varnish | 7.6% | 2,368 | 2,272 | $55K |
| D1110 | Prophylaxis - adult | 5.5% | 938 | 921 | $40K |
| D4341 | 5.5% | 294 | 191 | $40K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.4% | 1,909 | 1,803 | $39K |
| D0274 | Bitewings - four radiographic images | 5.3% | 2,526 | 2,377 | $38K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 5.2% | 530 | 368 | $37K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.2% | 518 | 427 | $31K |
| D0220 | Intraoral - periapical first radiographic image | 3.5% | 4,682 | 4,328 | $25K |
12 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 2.6% | 4,378 | $19K |
| D0330 | Panoramic radiographic image | 1.7% | 971 | $13K |
| D0210 | Intraoral - complete series of radiographic images | 1.7% | 766 | $12K |
| D0272 | Bitewings - two radiographic images | 1.1% | 862 | $8K |
| D0140 | Limited oral evaluation - problem focused | 1.0% | 496 | $7K |
| D4342 | <1% | 118 | $6K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 139 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 95 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 16 | $928.80 |
| D1999 | 0% | 12 | $0.00 | |
| D0270 | 0% | 14 | $0.00 | |
| D0601 | 0% | 64 | $0.00 |
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.