Kool Smiles SC-2, PC
Kool Smiles SC-2, PC was paid $3.00M by Medicaid between Jan 2018 and Dec 2019, across 27 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 11% of everything it billed.
ORANGEBURG, SC 29115
Next to other Endodontist providers in South Carolina
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 46,580 | $1.60M | |
| 2019 | 41,075 | $1.40M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 3,269 | 2,262 | $322K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 9,241 | 9,241 | $321K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 10% | 2,446 | 680 | $307K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.4% | 3,338 | 2,228 | $252K |
| D1110 | Prophylaxis - adult | 6.9% | 4,171 | 4,171 | $208K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.5% | 8,510 | 8,510 | $194K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.0% | 4,478 | 4,478 | $179K |
| D1206 | Topical application of fluoride varnish | 5.7% | 10,576 | 10,576 | $171K |
| D0330 | Panoramic radiographic image | 5.2% | 3,139 | 3,139 | $156K |
| D1351 | Sealant - per tooth | 4.4% | 4,403 | 1,617 | $131K |
| D0272 | Bitewings - two radiographic images | 4.3% | 6,841 | 6,841 | $129K |
| D0274 | Bitewings - four radiographic images | 4.2% | 4,676 | 4,676 | $125K |
15 more codes
| D0220 | Intraoral - periapical first radiographic image | 3.6% | 8,617 | $109K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 7,221 | $74K |
| D7140 | Extraction, erupted tooth or exposed root | 1.9% | 648 | $56K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 1,183 | $44K |
| D0145 | Oral evaluation for a patient under three years of age | 1.4% | 1,141 | $41K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 1.2% | 394 | $36K |
| D9222 | 1.2% | 393 | $35K | |
| D1208 | Topical application of fluoride, excluding varnish | 1.0% | 1,897 | $31K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 207 | $25K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 602 | $20K |
| D7240 | Removal of impacted tooth - completely bony | <1% | 49 | $14K |
| D2934 | <1% | 92 | $12K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 67 | $5K |
| D7111 | <1% | 41 | $3K | |
| D2330 | <1% | 15 | $1K |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.