Medicaid Provider Spending

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

KOOL SMILES, PC

NPI: 1154415958 · SUMTER, SC 29150 · Endodontist · NPI assigned 10/03/2006

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

Authorized official TRAN, TU controls 19+ related entities in our dataset. Read more

$4.16M
Total Medicaid Paid
121,860
Total Claims
114,416
Beneficiaries
28
Codes Billed
2018-01
First Month
2021-04
Last Month

Provider Details

Authorized OfficialTRAN, TU (PRESIDENT)
NPI Enumeration Date10/03/2006

Related Entities

Other providers sharing the same authorized official: TRAN, TU

ProviderCityStateTotal Paid
CANDLER ROAD DENTAL, PC DECATUR GA $123.84M
KOOL SMILES, PSC LEXINGTON KY $30.67M
CRESTON DENTAL-1, P.C. ANDERSON SC $14.78M
KOOL SMILES IN-3, PC EVANSVILLE IN $12.44M
KOOL SMILES IN FT. WAYNE, PC FT. WAYNE IN $7.75M
KOOL SMILES IN-3, PC TERRA HAUTE IN $4.80M
KOOL SMILES, PC GREENVILLE SC $4.34M
KOOL SMILES IN-3, PC HIGHLAND BRA IN $4.04M
DENTISTRY OF BROWNSVILLE, PC BRYAN TX $3.54M
DENTISTRY OF BROWNSVILLE PC KILLEEN TX $2.68M
DENTISTRY OF BROWNSVILLE, PC WACO TX $2.29M
DENTISTRY OF BROWNSVILLE, PC SAN ANTONIO TX $2.15M
DENTISTRY OF BROWNSVILLE, PC LEON VALLEY TX $2.05M
DENTISTRY OF BROWNSVILLE, PC TEXARKANA TX $2.00M
KOOL SMILES, PSC LOUISVILLE KY $1.76M
CANDLER ROAD DENTAL, PC COLUMBUS GA $928K
DENTISTRY OF BROWNSVILLE, PC LAREDO TX $809K
BETHEL P.C. HAMPTON VA $154K
DENTISTRY OF BROWNSVILLE, PC HOUSTON TX $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 45,855 $1.52M
2019 43,162 $1.50M
2020 24,480 $853K
2021 8,363 $284K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 13,305 13,305 $462K
D2391 Resin-based composite - one surface, posterior, primary or permanent 5,420 4,123 $413K
D1110 Prophylaxis - adult 7,464 7,464 $374K
D2930 Prefabricated stainless steel crown - primary tooth 2,743 714 $344K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 3,154 2,576 $315K
D0120 Periodic oral evaluation - established patient 13,134 13,134 $300K
D0150 Comprehensive oral evaluation - new or established patient 6,821 6,821 $274K
D1206 Topical application of fluoride varnish 16,260 16,260 $263K
D0330 Panoramic radiographic image 4,576 4,576 $229K
D0274 Bitewings - four radiographic images 7,238 7,238 $197K
D0272 Bitewings - two radiographic images 10,000 10,000 $189K
D0220 Intraoral - periapical first radiographic image 10,404 10,341 $133K
D1351 Sealant - per tooth 4,298 1,636 $129K
D0140 Limited oral evaluation - problem focused 2,383 2,370 $89K
D0230 Intraoral - periapical each additional radiographic image 7,071 6,844 $73K
D7140 Extraction, erupted tooth or exposed root 773 537 $67K
D7240 Removal of impacted tooth - completely bony 214 62 $60K
D0145 Oral evaluation for a patient under three years of age 1,591 1,591 $57K
D1208 Topical application of fluoride, excluding varnish 3,443 3,443 $56K
D9222 483 483 $44K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 442 441 $40K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 137 83 $19K
D2934 125 39 $16K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 93 80 $11K
D7111 88 69 $6K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 150 150 $5K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 23 12 $2K
D2330 27 24 $2K