Song, Qiujing

Song, Qiujing was paid $15K by Medicaid between Jan 2018 and May 2018, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 37% of everything it billed.

33Billing provider infoSONG, QIUJING
LISLE, IL 60532

33aNPI1265883292assigned 06/30/2016

33bProvider typeGeneral Practice Dentistry

28Total paid$15K

24GClaims693

24DCodes billed8

24AFirst – last monthJan 2018 – May 2018

Compared with peers

Next to other General Practice Dentistry providers in Illinois

Rank by total paid#780 of 1,017

Median peer was paid$123K

This provider vs. median0.1×

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	693	$15K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	37%	178	133	$5K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	24%	184	138	$4K
D1208	Topical application of fluoride, excluding varnish	21%	164	122	$3K
D0274	Bitewings - four radiographic images	6.7%	72	59	$997.10
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	6.3%	15	12	$932.15
D1110	Prophylaxis - adult	2.2%	17	14	$330.20
D0150	Comprehensive oral evaluation - new or established patient	1.8%	16	13	$273.65
D0220	Intraoral - periapical first radiographic image	1.4%	47	38	$207.20

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.