Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Kool Smiles, PSC

Kool Smiles, PSC was paid $30.67M by Medicaid between Jan 2018 and Dec 2024, across 51 billing codes. Its largest line is D1120, dental cleaning, child — 15% of everything it billed.

33Billing provider infoKOOL SMILES, PSC
LEXINGTON, KY 40505
33aNPI1205026788assigned 07/31/2007
33bProvider typeEndodontist
28Total paid$30.67M
24GClaims905,534
24DCodes billed51
24AFirst – last monthJan 2018 – Dec 2024

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

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
2018195,789$5.17M
2019171,385$5.52M
2020110,254$3.24M
2021118,686$4.08M
202281,637$3.41M
2023110,791$4.90M
2024incomplete116,992$4.36M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 15% 97,379 93,076 $4.65M
D8080 Comprehensive orthodontic treatment of the adolescent dentition 11% 1,761 1,722 $3.30M
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 5.5% 81,885 78,409 $1.67M
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 5.3% 25,017 14,947 $1.63M
D2930 Prefabricated stainless steel crown - primary tooth 5.2% 14,583 8,390 $1.58M
D1208 Topical application of fluoride, excluding varnish 5.0% 105,910 100,912 $1.54M
D0330 Panoramic radiographic image 4.7% 36,773 35,192 $1.44M
D1110 Prophylaxis - adult 4.7% 29,148 28,004 $1.43M
D1351 Sealant - per tooth 4.5% 73,357 20,803 $1.37M
D0150 Comprehensive oral evaluation - new or established patient 4.2% 48,292 46,217 $1.29M
D8670 Periodic orthodontic treatment visit 4.0% 1,637 1,557 $1.21M
D0272 Bitewings - two radiographic images 3.8% 74,405 70,397 $1.17M
39 more codes
D2391 Resin-based composite - one surface, posterior, primary or permanent 3.2% 20,279 $985K
D7240 Removal of impacted tooth - completely bony 3.2% 6,184 $966K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 2.9% 28,676 $889K
D0274 Bitewings - four radiographic images 2.5% 33,493 $771K
D7140 Extraction, erupted tooth or exposed root 2.3% 14,535 $698K
D0220 Intraoral - periapical first radiographic image 2.1% 68,112 $634K
D2140 1.7% 11,988 $524K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 1.4% 5,772 $426K
D2150 Silver amalgam - two surfaces, primary or permanent 1.4% 7,273 $418K
D0140 Limited oral evaluation - problem focused 1.3% 11,732 $388K
D0230 Intraoral - periapical each additional radiographic image 1.2% 56,782 $374K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 1.0% 2,977 $311K
D1206 Topical application of fluoride varnish <1% 15,854 $264K
D8660 <1% 2,044 $144K
D2332 <1% 1,280 $92K
D7230 <1% 595 $75K
D7111 <1% 1,535 $75K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction <1% 1,189 $74K
D2330 <1% 1,007 $51K
D2335 <1% 477 $40K
D1352 <1% 998 $36K
D8999 <1% 330 $35K
D4341 <1% 425 $25K
D0210 Intraoral - complete series of radiographic images <1% 457 $16K
D0270 <1% 2,286 $15K
D0180 <1% 223 $13K
D0160 <1% 174 $12K
D1353 <1% 514 $8K
D2394 <1% 93 $7K
D2331 <1% 92 $6K
D2160 <1% 71 $4K
D3120 <1% 68 $3K
D4355 <1% 87 $3K
D0340 <1% 64 $219.96
D1999 0% 17,255 $0.00
D7922 0% 293 $0.00
D9110 0% 12 $0.00
D0240 0% 107 $0.00
D9310 0% 54 $0.00

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)
Same official

Other billing entities under TRAN, TU

Full network →
ProviderLocationPaid
Candler Road Dental, PCDecatur, GA$123.84M
Creston Dental-1, P.C.Anderson, SC$14.78M
Kool Smiles In-3, PCEvansville, IN$12.44M
Kool Smiles in FT. Wayne, PCFt. Wayne, IN$7.75M
Kool Smiles In-3, PCTerra Haute, IN$4.80M
Kool Smiles, PCGreenville, SC$4.34M
Kool Smiles, PCSumter, SC$4.16M
Kool Smiles In-3, PCHighland Bra, IN$4.04M
Dentistry of Brownsville, PCBryan, TX$3.54M
Dentistry of Brownsville PCKilleen, TX$2.68M
Dentistry of Brownsville, PCWaco, TX$2.29M
Dentistry of Brownsville, PCSan Antonio, TX$2.15M
Dentistry of Brownsville, PCLeon Valley, TX$2.05M
Dentistry of Brownsville, PCTexarkana, TX$2.00M
Kool Smiles, PSCLouisville, KY$1.76M
Candler Road Dental, PCColumbus, GA$928K
Dentistry of Brownsville, PCLaredo, TX$809K
Bethel P.C.Hampton, VA$154K
Dentistry of Brownsville, PCHouston, TX$0.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.