Dental
Tae G Song DDS PC
Tae G Song DDS PC was paid $2.57M by Medicaid between Nov 2020 and Dec 2024, across 18 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 42% of everything it billed.
33Billing provider infoTAE G SONG DDS PC
MESQUITE, TX 75149
MESQUITE, TX 75149
33aNPI1215334420assigned 12/03/2014
33bProvider typeDentist
28Total paid$2.57M
24GClaims72,869
24DCodes billed18
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#75 of 1,678
Median peer was paid$35K
This provider vs. median75×
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 | 2,729 | $100K | |
| 2021 | 19,329 | $709K | |
| 2022 | 17,713 | $603K | |
| 2023 | 17,695 | $617K | |
| 2024incomplete | 15,403 | $545K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 42% | 10,749 | 2,561 | $1.09M |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.2% | 2,726 | 907 | $212K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.2% | 14,479 | 5,450 | $159K |
| D1110 | Prophylaxis - adult | 5.4% | 2,617 | 2,578 | $139K |
| D0145 | Oral evaluation for a patient under three years of age | 4.8% | 890 | 880 | $124K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.8% | 3,463 | 3,390 | $123K |
| D1351 | Sealant - per tooth | 4.7% | 4,540 | 1,173 | $121K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.6% | 4,268 | 4,192 | $119K |
| D1208 | Topical application of fluoride, excluding varnish | 3.4% | 6,054 | 5,941 | $86K |
| D0274 | Bitewings - four radiographic images | 3.1% | 2,369 | 2,332 | $80K |
| D0272 | Bitewings - two radiographic images | 2.8% | 3,165 | 3,100 | $72K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.7% | 2,062 | 2,003 | $69K |
6 more codes
| D0220 | Intraoral - periapical first radiographic image | 2.7% | 5,641 | $69K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.2% | 2,125 | $56K |
| D0210 | Intraoral - complete series of radiographic images | 1.8% | 690 | $45K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 85 | $9K |
| D0603 | 0% | 5,739 | $0.00 | |
| D0602 | 0% | 1,207 | $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 officialSONG, TAE (PRESIDENT)