Song, Tae

Song, Tae was paid $10K by Medicaid between Apr 2023 and May 2023, across 12 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 39% of everything it billed.

33Billing provider infoSONG, TAE
RED OAK, TX 75154

33aNPI1821441825assigned 07/14/2016

33bProvider typeDentist

28Total paid$10K

24GClaims408

24DCodes billed12

24AFirst – last monthApr 2023 – May 2023

Compared with peers

Next to other Dentist providers in Texas

Rank by total paid#1,076 of 1,678

Median peer was paid$35K

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
2023	408	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0145	Oral evaluation for a patient under three years of age	39%	29	28	$4K
D1351	Sealant - per tooth	32%	140	14	$3K
D0210	Intraoral - complete series of radiographic images	8.3%	12	12	$847.68
D1120	Dental cleaning, childProphylaxis - child	5.4%	16	16	$551.25
D0150	Comprehensive oral evaluation - new or established patient	5.2%	16	15	$529.80
D1208	Topical application of fluoride, excluding varnish	4.6%	35	34	$470.40
D0230	Intraoral - periapical each additional radiographic image	2.7%	61	34	$276.24
D0220	Intraoral - periapical first radiographic image	1.7%	35	34	$175.84
D0330	Panoramic radiographic image	<1%	13	13	$63.78
D0603		0%	13	13	$0.00
D0602		0%	13	12	$0.00
D0601		0%	25	25	$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.