He's also used aluminum cans and glass bottles in a similar fashion. Colored glass bottles can produce visual results resembling stained glass, it's interesting.
But these are hand laid like brick laying, so not quite what you're thinking with the ping-pong balls.
Also, most designs assume a uniform cross section, and changing that greatly complicates the design method.
And remember that the laborers doing this don't always understand (or care) about these sort of restrictions.
It's usually cheaper and less risky to just use a lightweight mix, with injected air, if needed.
https://www.geoplastglobal.com/en/products/slabs/new-nautilu...
There is also an as well already available commercial solution using "balls":
https://www.cobiax.com/intl/produkte/cobiax-el/
similar to the "bubbledeck" technology used in Eindhoven:
https://en.wikipedia.org/wiki/Voided_biaxial_slab
Anyway these are basically an evolution (involution?) of "waffle slabs":
https://en.wikipedia.org/wiki/Autoclaved_aerated_concrete https://en.wikipedia.org/wiki/Foam_concrete