Dental
Dae H Song DDS INC
Dae H Song DDS INC was paid $1.79M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is D2751, Crown - porcelain fused to predominantly base metal — 17% of everything it billed.
33Billing provider infoDAE H SONG DDS INC
LOS ANGELES, CA 90065
LOS ANGELES, CA 90065
33aNPI1831211820assigned 04/03/2007
33bProvider typeDentist
28Total paid$1.79M
24GClaims55,464
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#315 of 2,314
Median peer was paid$185K
This provider vs. median9.7×
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 | 10,850 | $200K | |
| 2019 | 9,985 | $260K | |
| 2020 | 6,095 | $152K | |
| 2021 | 6,963 | $192K | |
| 2022 | 7,931 | $285K | |
| 2023 | 7,407 | $434K | |
| 2024incomplete | 6,233 | $268K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2751 | Crown - porcelain fused to predominantly base metal | 17% | 635 | 406 | $299K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 4,179 | 4,162 | $214K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 10% | 1,664 | 1,157 | $185K |
| D1110 | Prophylaxis - adult | 9.4% | 2,092 | 2,086 | $169K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.0% | 2,592 | 2,580 | $162K |
| D4910 | 6.3% | 1,488 | 1,485 | $113K | |
| D0230 | Intraoral - periapical each additional radiographic image | 5.6% | 25,037 | 4,805 | $100K |
| D0210 | Intraoral - complete series of radiographic images | 5.5% | 2,109 | 2,102 | $98K |
| D4341 | 5.3% | 1,428 | 395 | $96K | |
| D1120 | Dental cleaning, childProphylaxis - child | 4.8% | 2,454 | 2,446 | $85K |
| D0272 | Bitewings - two radiographic images | 2.4% | 3,877 | 3,862 | $44K |
| D2954 | 2.4% | 405 | 268 | $42K |
14 more codes
| D9430 | 2.3% | 1,290 | $41K | |
| D1208 | Topical application of fluoride, excluding varnish | 1.9% | 3,139 | $35K |
| D7140 | Extraction, erupted tooth or exposed root | 1.1% | 359 | $19K |
| D1351 | Sealant - per tooth | 1.0% | 855 | $18K |
| D3310 | <1% | 56 | $17K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 316 | $17K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,263 | $14K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | <1% | 17 | $8K |
| D3320 | <1% | 14 | $5K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 71 | $5K |
| D2330 | <1% | 29 | $2K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 26 | $2K |
| D2140 | <1% | 19 | $1K | |
| D1206 | Topical application of fluoride varnish | <1% | 50 | $708.00 |
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.
From NPPES
Who's on the registration
Authorized officialSONG, DAE (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Dae H. Song D.D.S. INC. | Huntington Park, CA | $2.38M |
| DR. Song 8TH and Alvarado Family Dental Group | Los Angeles, CA | $2.17M |
| 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.