Dental
Kool Smiles, PSC
Kool Smiles, PSC was paid $1.76M by Medicaid between Jun 2019 and Jan 2024, across 28 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 18% of everything it billed.
33Billing provider infoKOOL SMILES, PSC
LOUISVILLE, KY 40218
LOUISVILLE, KY 40218
33aNPI1316138936assigned 08/08/2007
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$1.76M
24GClaims55,431
24DCodes billed28
24AFirst – last monthJun 2019 – Jan 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Kentucky
Rank by total paid#12 of 48
Median peer was paid$214K
This provider vs. median8.2×
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 | |
|---|---|---|---|
| 2019 | 317 | $5K | |
| 2020 | 3,121 | $64K | |
| 2021 | 37,216 | $1.21M | |
| 2022 | 3,311 | $96K | |
| 2023 | 10,995 | $371K | |
| 2024incomplete | 471 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 18% | 2,073 | 798 | $309K |
| D1351 | Sealant - per tooth | 11% | 6,976 | 1,609 | $188K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.7% | 4,785 | 4,327 | $153K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.9% | 5,677 | 5,123 | $121K |
| D1110 | Prophylaxis - adult | 5.8% | 2,261 | 2,044 | $102K |
| D0210 | Intraoral - complete series of radiographic images | 5.4% | 1,309 | 1,229 | $94K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.8% | 2,904 | 2,445 | $84K |
| D1206 | Topical application of fluoride varnish | 4.4% | 3,644 | 3,283 | $77K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 4.1% | 949 | 574 | $72K |
| D0272 | Bitewings - two radiographic images | 4.0% | 3,978 | 3,620 | $71K |
| D1208 | Topical application of fluoride, excluding varnish | 3.7% | 3,246 | 2,946 | $66K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.3% | 561 | 271 | $58K |
16 more codes
| D2140 | 3.0% | 944 | $53K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.7% | 1,434 | $47K |
| D7140 | Extraction, erupted tooth or exposed root | 2.3% | 587 | $40K |
| D0274 | Bitewings - four radiographic images | 2.1% | 1,961 | $37K |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 3,394 | $33K |
| D7240 | Removal of impacted tooth - completely bony | 1.8% | 103 | $32K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.6% | 537 | $29K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 3,046 | $20K |
| D0140 | Limited oral evaluation - problem focused | <1% | 417 | $16K |
| D7111 | <1% | 226 | $15K | |
| D2160 | <1% | 133 | $13K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 169 | $12K |
| D0330 | Panoramic radiographic image | <1% | 1,679 | $9K |
| D2330 | <1% | 60 | $4K | |
| D9920 | <1% | 210 | $2K | |
| D1999 | <1% | 2,168 | $15.00 |
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)
| 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, PC | Sumter, SC | $4.16M |
| 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 |
| 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.