Samuel Song, DMD
NPI 1487117529ActiveIndividual· Dentist, Oral and Maxillofacial Surgery· Daytona Beach, FL
Dentist, Oral and Maxillofacial Surgery (DMD) in Daytona Beach, Florida, trained at Tufts University School of Dental Medicine (class of 2019). 17 Medicare patients in 2024, $3,028 paid; all of their 220 Part D prescriptions were generic. Biohorizons Implant Systems Inc. reported $13.97 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1487117529 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | No |
| NPI issued | Apr 6, 2019 |
| Last updated in NPPES | Jun 24, 2024 |
| Certified by provider | Jun 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | DN24730 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Oral Surgery (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 17 |
|---|---|
| Services billed | 30 across 11 procedure codes |
| Paid by Medicare | $3,028 |
Part D prescriptions in 2024
| Prescriptions (claims) | 220 · 222 30-day fills |
|---|---|
| Patients | 99 |
| Total drug cost | $883.53 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | Tufts University School of Dental Medicine |
|---|---|
| Graduation year | 2019 |
| Medicare specialty | Oral Surgery |
| Secondary specialties | Maxillofacial Surgery |
Medical groups
- Halifax Healthcare Systems IncDaytona Bch, FL · 356 clinicians
- Florida Oral and Facial Surgical Associates PADaytona Beach, FL · 4 clinicians
Hospital affiliation
- Halifax Health Medical CenterDaytona Beach, FL
Industry payments (Open Payments)
- 2025$13.97 · 1 payment from 1 company
- 2024$137.10 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Biohorizons Implant Systems Inc. | $13.97 | 1 |
What the 2025 payments were for
- Food and Beverage$13.97 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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