Dental
Henry K Pong, DDS, PSC
Henry K Pong, DDS, PSC was paid $170K by Medicaid between Jan 2018 and Oct 2020, across 19 billing codes. Its largest line is D1110, Prophylaxis - adult — 21% of everything it billed.
33Billing provider infoHENRY K PONG, DDS, PSC
LAKE STATION, IN 46405
LAKE STATION, IN 46405
33aNPI1174620769assigned 09/17/2006
33bProvider typeDentist
28Total paid$170K
24GClaims7,714
24DCodes billed19
24AFirst – last monthJan 2018 – Oct 2020
Compared with peers
Next to other Dentist providers in Indiana
Rank by total paid#164 of 452
Median peer was paid$59K
This provider vs. median2.9×
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 | 3,627 | $24K | |
| 2019 | 2,610 | $95K | |
| 2020 | 1,477 | $51K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 21% | 1,139 | 1,075 | $36K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 15% | 571 | 397 | $26K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 1,522 | 1,434 | $23K |
| D0274 | Bitewings - four radiographic images | 13% | 956 | 891 | $22K |
| D1351 | Sealant - per tooth | 8.0% | 853 | 186 | $14K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.3% | 217 | 150 | $9K |
| D0210 | Intraoral - complete series of radiographic images | 4.2% | 328 | 323 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 4.1% | 665 | 623 | $7K |
| D0140 | Limited oral evaluation - problem focused | 4.0% | 304 | 283 | $7K |
| D0330 | Panoramic radiographic image | 2.8% | 168 | 156 | $5K |
| D0272 | Bitewings - two radiographic images | 2.6% | 349 | 330 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.3% | 295 | 279 | $4K |
7 more codes
| D2330 | 1.3% | 37 | $2K | |
| D2331 | 1.1% | 21 | $2K | |
| D1206 | Topical application of fluoride varnish | <1% | 71 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 127 | $858.73 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 38 | $741.95 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 33 | $278.55 |
| D1999 | 0% | 20 | $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.
From NPPES
Who's on the registration
Authorized officialPONG, HENRY (PRESIDENT)