Dental
Dae H. Song D.D.S. INC.
Dae H. Song D.D.S. INC. was paid $2.38M by Medicaid between Jan 2018 and Oct 2023, across 28 billing codes. Its largest line is D0120, dental checkup, returning patient — 14% of everything it billed.
33Billing provider infoDAE H. SONG D.D.S. INC.
HUNTINGTON PARK, CA 90255
HUNTINGTON PARK, CA 90255
33aNPI1417133158assigned 01/11/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$2.38M
24GClaims93,043
24DCodes billed28
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#237 of 2,668
Median peer was paid$173K
This provider vs. median14×
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 | 22,953 | $432K | |
| 2019 | 20,899 | $514K | |
| 2020 | 10,004 | $259K | |
| 2021 | 13,766 | $321K | |
| 2022 | 13,247 | $367K | |
| 2023 | 12,174 | $486K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 6,729 | 6,699 | $329K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 12% | 2,469 | 1,594 | $288K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.5% | 3,701 | 3,686 | $226K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.9% | 6,142 | 6,113 | $213K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.0% | 45,563 | 9,897 | $191K |
| D4341 | 7.1% | 2,706 | 712 | $170K | |
| D2140 | 6.2% | 2,766 | 1,411 | $148K | |
| D7140 | Extraction, erupted tooth or exposed root | 5.7% | 2,377 | 1,093 | $135K |
| D0210 | Intraoral - complete series of radiographic images | 5.6% | 2,821 | 2,810 | $133K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 4.9% | 1,782 | 991 | $117K |
| D2751 | Crown - porcelain fused to predominantly base metal | 4.3% | 220 | 150 | $103K |
| D1351 | Sealant - per tooth | 3.1% | 2,897 | 730 | $73K |
16 more codes
| D0272 | Bitewings - two radiographic images | 3.0% | 6,245 | $72K |
| D1206 | Topical application of fluoride varnish | 1.8% | 4,237 | $43K |
| D9993 | 1.2% | 449 | $28K | |
| D1310 | 1.1% | 585 | $27K | |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 1.1% | 54 | $25K |
| D2954 | <1% | 171 | $18K | |
| D4910 | <1% | 116 | $9K | |
| D1110 | Prophylaxis - adult | <1% | 105 | $9K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 386 | $5K |
| D0601 | <1% | 293 | $4K | |
| D3320 | <1% | 12 | $4K | |
| D4342 | <1% | 80 | $3K | |
| D2332 | <1% | 24 | $2K | |
| D9430 | <1% | 53 | $2K | |
| D2331 | <1% | 19 | $2K | |
| D0330 | Panoramic radiographic image | <1% | 41 | $1K |
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, DAE (OWNER)
| Provider | Location | Paid |
|---|---|---|
| DR. Song 8TH and Alvarado Family Dental Group | Los Angeles, CA | $2.17M |
| Dae H Song DDS INC | Los Angeles, CA | $1.79M |
| Song Eye Center | Selma, AL | $1.74M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.