Dental
Kool Smiles, PC
Kool Smiles, PC was paid $4.16M by Medicaid between Jan 2018 and Apr 2021, across 28 billing codes. Its largest line is D1120, dental cleaning, child — 11% of everything it billed.
33Billing provider infoKOOL SMILES, PC
SUMTER, SC 29150
SUMTER, SC 29150
33aNPI1154415958assigned 10/03/2006
33bProvider typeEndodontist
28Total paid$4.16M
24GClaims121,860
24DCodes billed28
24AFirst – last monthJan 2018 – Apr 2021
Compared with peers
Next to other Endodontist providers in South Carolina
Rank by total paid#5 of 19
Median peer was paid$773K
This provider vs. median5.4×
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.
Entity ProliferationAuthorized official TRAN, TU controls 19+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 45,855 | $1.52M | |
| 2019 | 43,162 | $1.50M | |
| 2020 | 24,480 | $853K | |
| 2021 | 8,363 | $284K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 13,305 | 13,305 | $462K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.9% | 5,420 | 4,123 | $413K |
| D1110 | Prophylaxis - adult | 9.0% | 7,464 | 7,464 | $374K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 8.3% | 2,743 | 714 | $344K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.6% | 3,154 | 2,576 | $315K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.2% | 13,134 | 13,134 | $300K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.6% | 6,821 | 6,821 | $274K |
| D1206 | Topical application of fluoride varnish | 6.3% | 16,260 | 16,260 | $263K |
| D0330 | Panoramic radiographic image | 5.5% | 4,576 | 4,576 | $229K |
| D0274 | Bitewings - four radiographic images | 4.7% | 7,238 | 7,238 | $197K |
| D0272 | Bitewings - two radiographic images | 4.5% | 10,000 | 10,000 | $189K |
| D0220 | Intraoral - periapical first radiographic image | 3.2% | 10,404 | 10,341 | $133K |
16 more codes
| D1351 | Sealant - per tooth | 3.1% | 4,298 | $129K |
| D0140 | Limited oral evaluation - problem focused | 2.1% | 2,383 | $89K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.8% | 7,071 | $73K |
| D7140 | Extraction, erupted tooth or exposed root | 1.6% | 773 | $67K |
| D7240 | Removal of impacted tooth - completely bony | 1.4% | 214 | $60K |
| D0145 | Oral evaluation for a patient under three years of age | 1.4% | 1,591 | $57K |
| D1208 | Topical application of fluoride, excluding varnish | 1.3% | 3,443 | $56K |
| D9222 | 1.0% | 483 | $44K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | <1% | 442 | $40K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 137 | $19K |
| D2934 | <1% | 125 | $16K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 93 | $11K |
| D7111 | <1% | 88 | $6K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 150 | $5K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 23 | $2K |
| D2330 | <1% | 27 | $2K |
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.
From NPPES
Who's on the registration
Authorized officialTRAN, TU (PRESIDENT)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.