Dental
Song, Eunice
Song, Eunice was paid $9K by Medicaid between Aug 2019 and Nov 2019, across 6 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 42% of everything it billed.
33Billing provider infoSONG, EUNICE
MANASSAS, VA 20110
MANASSAS, VA 20110
33aNPI1427392729assigned 11/27/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$9K
24GClaims178
24DCodes billed6
24AFirst – last monthAug 2019 – Nov 2019
Compared with peers
Next to other General Practice Dentistry providers in Virginia
Rank by total paid#360 of 549
Median peer was paid$29K
This provider vs. median0.3×
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 | 178 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 42% | 43 | 30 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 35% | 46 | 27 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 8.2% | 36 | 36 | $748.44 |
| D1120 | Dental cleaning, childProphylaxis - child | 5.5% | 15 | 15 | $502.80 |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.5% | 23 | 16 | $500.96 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.3% | 15 | 15 | $302.25 |
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.