Dental
Roh, Song Yi
Roh, Song Yi was paid $184K by Medicaid between Jan 2022 and Oct 2024, across 15 billing codes. Its largest line is D0120, dental checkup, returning patient — 19% of everything it billed.
33Billing provider infoROH, SONG YI
IRVINGTON, NJ 07111
IRVINGTON, NJ 07111
33aNPI1316610108assigned 07/28/2021
33bProvider typeDentist
28Total paid$184K
24GClaims8,409
24DCodes billed15
24AFirst – last monthJan 2022 – Oct 2024
Compared with peers
Next to other Dentist providers in New Jersey
Rank by total paid#165 of 674
Median peer was paid$27K
This provider vs. median6.9×
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 | |
|---|---|---|---|
| 2022 | 4,092 | $104K | |
| 2023 | 3,568 | $66K | |
| 2024incomplete | 749 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 1,184 | 1,181 | $35K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 705 | 704 | $31K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 442 | 206 | $30K |
| D1110 | Prophylaxis - adult | 11% | 499 | 496 | $21K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.1% | 304 | 155 | $17K |
| D1208 | Topical application of fluoride, excluding varnish | 7.9% | 591 | 589 | $14K |
| D0330 | Panoramic radiographic image | 5.6% | 263 | 263 | $10K |
| D0274 | Bitewings - four radiographic images | 4.0% | 634 | 629 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 2.9% | 1,441 | 1,397 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.2% | 1,347 | 1,305 | $4K |
| D1206 | Topical application of fluoride varnish | 2.2% | 138 | 137 | $4K |
| D0272 | Bitewings - two radiographic images | <1% | 184 | 183 | $2K |
3 more codes
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.