Dental
Songsakphisarn, Revadee
Songsakphisarn, Revadee was paid $210K by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is D0120, dental checkup, returning patient — 28% of everything it billed.
33Billing provider infoSONGSAKPHISARN, REVADEE
JERSEY CITY, NJ 07306
JERSEY CITY, NJ 07306
33aNPI1316935497assigned 10/12/2005
33bProvider typeGeneral Practice Dentistry
28Total paid$210K
24GClaims14,180
24DCodes billed12
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in New Jersey
Rank by total paid#214 of 790
Median peer was paid$43K
This provider vs. median4.9×
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 | 3,730 | $52K | |
| 2019 | 3,005 | $43K | |
| 2020 | 1,653 | $25K | |
| 2021 | 1,229 | $20K | |
| 2022 | 1,649 | $25K | |
| 2023 | 1,681 | $26K | |
| 2024incomplete | 1,233 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 28% | 2,438 | 2,432 | $59K |
| D1110 | Prophylaxis - adult | 20% | 1,425 | 1,419 | $41K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 994 | 994 | $25K |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 2,093 | 2,070 | $22K |
| D0272 | Bitewings - two radiographic images | 6.3% | 1,934 | 1,931 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 5.5% | 2,265 | 2,254 | $11K |
| D1208 | Topical application of fluoride, excluding varnish | 5.3% | 1,293 | 1,293 | $11K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 5.0% | 219 | 124 | $11K |
| D0210 | Intraoral - complete series of radiographic images | 4.2% | 244 | 243 | $9K |
| D0330 | Panoramic radiographic image | 2.6% | 223 | 223 | $5K |
| D0601 | <1% | 164 | 164 | $2K | |
| D1330 | 0% | 888 | 864 | $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.