Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SC › ORANGEBURG › KOOL SMILES SC-2, PC

KOOL SMILES SC-2, PC

NPI: 1063708410 · ORANGEBURG, SC 29115 · Endodontist · NPI assigned 06/23/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

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

$3.00M
Total Medicaid Paid
87,655
Total Claims
80,412
Beneficiaries
27
Codes Billed
2018-01
First Month
2019-12
Last Month

Provider Details

Authorized OfficialVIETH, DAVID (PRESIDENT)
NPI Enumeration Date06/23/2011

Related Entities

Other providers sharing the same authorized official: VIETH, DAVID

ProviderCityStateTotal 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
DAVID M. VIETH DDS, A PROFESSIONAL CORPORATION SHREVEPORT LA $4.92M
KOOL SMILES SC-2, PC COLUMBIA SC $4.22M
KOOL SMILES IN-3, PC ELKHART IN $3.26M
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

YearClaimsTotal Paid
2018 46,580 $1.60M
2019 41,075 $1.40M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 3,269 2,262 $322K
D1120 Prophylaxis - child 9,241 9,241 $321K
D2930 Prefabricated stainless steel crown - primary tooth 2,446 680 $307K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3,338 2,228 $252K
D1110 Prophylaxis - adult 4,171 4,171 $208K
D0120 Periodic oral evaluation - established patient 8,510 8,510 $194K
D0150 Comprehensive oral evaluation - new or established patient 4,478 4,478 $179K
D1206 Topical application of fluoride varnish 10,576 10,576 $171K
D0330 Panoramic radiographic image 3,139 3,139 $156K
D1351 Sealant - per tooth 4,403 1,617 $131K
D0272 Bitewings - two radiographic images 6,841 6,841 $129K
D0274 Bitewings - four radiographic images 4,676 4,676 $125K
D0220 Intraoral - periapical first radiographic image 8,617 8,583 $109K
D0230 Intraoral - periapical each additional radiographic image 7,221 7,107 $74K
D7140 Extraction, erupted tooth or exposed root 648 454 $56K
D0140 Limited oral evaluation - problem focused 1,183 1,171 $44K
D0145 Oral evaluation for a patient under three years of age 1,141 1,141 $41K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 394 394 $36K
D9222 393 393 $35K
D1208 Topical application of fluoride, excluding varnish 1,897 1,897 $31K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 207 179 $25K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 602 548 $20K
D7240 Removal of impacted tooth - completely bony 49 15 $14K
D2934 92 31 $12K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 67 38 $5K
D7111 41 30 $3K
D2330 15 12 $1K