Park, Song

Park, Song was paid $33K by Medicaid between Nov 2019 and Feb 2021, across 4 billing codes. Its largest line is D9999, Unspecified adjunctive procedure, by report — 87% of everything it billed.

33Billing provider infoPARK, SONG
HOGANSBURG, NY 13655

33aNPI1225486947assigned 06/03/2016

33bProvider typeDentist

28Total paid$33K

24GClaims664

24DCodes billed4

24AFirst – last monthNov 2019 – Feb 2021

Compared with peers

Next to other Dentist providers in New York

Rank by total paid#925 of 1,649

Median peer was paid$49K

This provider vs. median0.7×

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	61	$3K
2020	475	$24K
2021	128	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D9999	Unspecified adjunctive procedure, by report	87%	297	262	$29K
D0330	Panoramic radiographic image	7.0%	175	172	$2K
D0140	Limited oral evaluation - problem focused	3.5%	127	127	$1K
D0150	Comprehensive oral evaluation - new or established patient	2.1%	65	65	$700.00

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.