SONG, IN HEE
NPI: 1447523667
· PLACERVILLE, CA 95667
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 02/18/2012
$223K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,937 |
$132K |
| 2020 |
1,125 |
$91K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,072 |
391 |
$81K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
390 |
387 |
$51K |
| D7240 |
Removal of impacted tooth - completely bony |
177 |
73 |
$40K |
| D9222 |
|
388 |
387 |
$24K |
| D0330 |
Panoramic radiographic image |
486 |
486 |
$15K |
| D0140 |
Limited oral evaluation - problem focused |
404 |
404 |
$5K |
| D7230 |
|
35 |
26 |
$5K |
| D9310 |
|
110 |
110 |
$3K |