DAVID M. VIETH DDS, A PROFESSIONAL CORPORATION

NPI: 1013295815 · SHREVEPORT, LA 71118 · Endodontist · NPI assigned 07/27/2011

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official VIETH, DAVID controls 20+ related entities in our dataset. Read more

$4.92M

Total Medicaid Paid

150,781

Total Claims

128,901

Beneficiaries

Codes Billed

2018-01

First Month

2024-12

Last Month

Provider Details

Authorized Official	VIETH, DAVID (PRESIDENT)
NPI Enumeration Date	07/27/2011

Related Entities

Other providers sharing the same authorized official: VIETH, DAVID

Provider	City	State	Total Paid
DR. DAVID M. VIETH 2, P.C.	HAGERSTOWN	MD	$77.65M
DR DAVID M VIETH PC	TAKOMA PARK	MD	$45.71M
DR. DAVID M. VIETH 2, PC	BROOKLYN	MD	$35.07M
KOOL SMILES SC-2, PC	CHARLESTON	SC	$28.46M
DAVID M VIETH, DDS, A PROFESSIONAL CORPORATION	LAFAYETTE	LA	$22.57M
DAVID M. VIETH, DDS, A PROFESSIONAL CORPORATION	NEW ORLEANS	LA	$12.46M
DAVID M. VIETH DDS, A PROFESSIONAL CORPORATION	METAIRIE	LA	$11.51M
DAVID M VIETH DDS, A PROFESSIONAL CORPORATION	BATON ROUGE	LA	$10.61M
EAST 53RD STREET DENTAL-2, P.C.	INDIANAPOLIS	IN	$8.94M
DR. DAVID M. VIETH DDS, A PROFESSIONAL CORPORATION	GRETNA	LA	$7.23M
DAVID M VIETH DDS - A PROFESSIONAL CORPORATION	MONROE	LA	$7.21M
DAVID M VIETH DDS, A PROFESSIONAL CORPORATION	LAKE CHARLES	LA	$5.56M
KOOL SMILES IN-3, PC	LAFAYETTE	IN	$5.15M
KOOL SMILES SC-2, PC	COLUMBIA	SC	$4.22M
KOOL SMILES IN-3, PC	ELKHART	IN	$3.26M
KOOL SMILES SC-2, PC	ORANGEBURG	SC	$3.00M
KOOL SMILES SC-2, PC	GREENVILLE	SC	$2.63M
KOOL SMILES SC-2, PC	ROCK HILL	SC	$2.02M
DR. DAVID M. VIETH 2, PC	SALISBURY	MD	$1.17M
KOOL SMILES SC-2, PC	ANDERSON	SC	$773K

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	33,507	$1.08M
2019	25,589	$865K
2020	18,831	$597K
2021	19,305	$713K
2022	25,109	$901K
2023	18,615	$371K
2024	9,825	$392K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D1120	Prophylaxis - child	19,365	18,549	$609K
D0150	Comprehensive oral evaluation - new or established patient	12,068	9,944	$461K
D0120	Periodic oral evaluation - established patient	16,478	15,645	$426K
D0330	Panoramic radiographic image	9,089	8,441	$401K
D1110	Prophylaxis - adult	8,980	8,287	$379K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	4,128	2,450	$338K
D2930	Prefabricated stainless steel crown - primary tooth	2,620	1,428	$306K
D2391	Resin-based composite - one surface, posterior, primary or permanent	4,370	2,791	$277K
D1208	Topical application of fluoride, excluding varnish	14,799	14,215	$264K
D0272	Bitewings - two radiographic images	14,475	13,808	$246K
D1351	Sealant - per tooth	8,604	2,472	$236K
D1206	Topical application of fluoride varnish	7,861	7,426	$178K
D7140	Extraction, erupted tooth or exposed root	2,866	1,440	$172K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	5,114	4,290	$159K
D0220	Intraoral - periapical first radiographic image	7,069	6,634	$91K
D0145	Oral evaluation for a patient under three years of age	2,030	1,943	$87K
D0230	Intraoral - periapical each additional radiographic image	4,678	4,415	$52K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	593	320	$49K
D0140	Limited oral evaluation - problem focused	1,885	1,715	$41K
D3220	Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction	432	262	$37K
D7240	Removal of impacted tooth - completely bony	170	69	$37K
D0274	Bitewings - four radiographic images	1,680	1,317	$32K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	253	173	$24K
D0210	Intraoral - complete series of radiographic images	317	254	$9K
D7111		155	79	$8K
D9920		29	25	$2K
D0270		12	12	$85.22
D1999		661	497	$0.00