Dental
Song, Roy
Song, Roy was paid $59K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 29% of everything it billed.
33Billing provider infoSONG, ROY
PHOENIX, AZ 85035
PHOENIX, AZ 85035
33aNPI1164569935assigned 01/31/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$59K
24GClaims10,223
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Arizona
Rank by total paid#96 of 530
Median peer was paid$920.17
This provider vs. median64×
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 | 1,106 | $4K | |
| 2019 | 756 | $3K | |
| 2020 | 526 | $1K | |
| 2021 | 1,249 | $2K | |
| 2022 | 1,893 | $9K | |
| 2023 | 2,382 | $23K | |
| 2024incomplete | 2,311 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 29% | 1,337 | 540 | $17K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 645 | 283 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 12% | 2,500 | 2,303 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.5% | 924 | 864 | $4K |
| D0274 | Bitewings - four radiographic images | 6.7% | 953 | 872 | $4K |
| D1110 | Prophylaxis - adult | 6.1% | 467 | 440 | $4K |
| D0140 | Limited oral evaluation - problem focused | 5.9% | 525 | 479 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.4% | 1,801 | 1,657 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 4.8% | 635 | 591 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.8% | 71 | 67 | $1K |
| D0272 | Bitewings - two radiographic images | 1.5% | 181 | 178 | $855.87 |
| D1120 | Dental cleaning, childProphylaxis - child | 1.4% | 95 | 92 | $828.50 |
1 more codes
| D2950 | <1% | 89 | $440.44 |
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.