Dental
Song, Dong
Song, Dong was paid $173K by Medicaid between Jan 2018 and Mar 2022, across 17 billing codes. Its largest line is D0120, dental checkup, returning patient — 12% of everything it billed.
33Billing provider infoSONG, DONG
KENOSHA, WI 53142
KENOSHA, WI 53142
33aNPI1932625522assigned 08/16/2017
33bProvider typeDentist
28Total paid$173K
24GClaims12,889
24DCodes billed17
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers
Next to other Dentist providers in Wisconsin
Rank by total paid#49 of 185
Median peer was paid$28K
This provider vs. median6.2×
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 | 5,282 | $73K | |
| 2019 | 4,642 | $71K | |
| 2020 | 2,723 | $26K | |
| 2022 | 242 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 1,395 | 1,374 | $20K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 932 | 919 | $20K |
| D1110 | Prophylaxis - adult | 11% | 745 | 732 | $20K |
| D0220 | Intraoral - periapical first radiographic image | 10% | 2,405 | 2,295 | $18K |
| D0274 | Bitewings - four radiographic images | 9.7% | 1,017 | 997 | $17K |
| D1208 | Topical application of fluoride, excluding varnish | 8.6% | 1,198 | 1,181 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.5% | 651 | 640 | $13K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.0% | 2,512 | 1,864 | $12K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 5.0% | 108 | 55 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.0% | 165 | 115 | $9K |
| D0272 | Bitewings - two radiographic images | 4.8% | 655 | 648 | $8K |
| D0140 | Limited oral evaluation - problem focused | 3.7% | 444 | 411 | $6K |
5 more codes
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.