KOOL SMILES SC-2, PC

NPI: 1386951796 · GREENVILLE, SC 29605 · Endodontist · NPI assigned 09/07/2010

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official VIETH, DAVID controls 20+ related entities in our dataset. Read more

$2.63M

Total Medicaid Paid

76,494

Total Claims

69,342

Beneficiaries

Codes Billed

2018-01

First Month

2019-12

Last Month

Provider Details

Authorized Official	VIETH, DAVID (PRESIDENT)
NPI Enumeration Date	09/07/2010

Related Entities

Other providers sharing the same authorized official: VIETH, DAVID

Provider	City	State	Total Paid
DR. DAVID M. VIETH 2, P.C.	HAGERSTOWN	MD	$77.65M
DR DAVID M VIETH PC	TAKOMA PARK	MD	$45.71M
DR. DAVID M. VIETH 2, PC	BROOKLYN	MD	$35.07M
KOOL SMILES SC-2, PC	CHARLESTON	SC	$28.46M
DAVID M VIETH, DDS, A PROFESSIONAL CORPORATION	LAFAYETTE	LA	$22.57M
DAVID M. VIETH, DDS, A PROFESSIONAL CORPORATION	NEW ORLEANS	LA	$12.46M
DAVID M. VIETH DDS, A PROFESSIONAL CORPORATION	METAIRIE	LA	$11.51M
DAVID M VIETH DDS, A PROFESSIONAL CORPORATION	BATON ROUGE	LA	$10.61M
EAST 53RD STREET DENTAL-2, P.C.	INDIANAPOLIS	IN	$8.94M
DR. DAVID M. VIETH DDS, A PROFESSIONAL CORPORATION	GRETNA	LA	$7.23M
DAVID M VIETH DDS - A PROFESSIONAL CORPORATION	MONROE	LA	$7.21M
DAVID M VIETH DDS, A PROFESSIONAL CORPORATION	LAKE CHARLES	LA	$5.56M
KOOL SMILES IN-3, PC	LAFAYETTE	IN	$5.15M
DAVID M. VIETH DDS, A PROFESSIONAL CORPORATION	SHREVEPORT	LA	$4.92M
KOOL SMILES SC-2, PC	COLUMBIA	SC	$4.22M
KOOL SMILES IN-3, PC	ELKHART	IN	$3.26M
KOOL SMILES SC-2, PC	ORANGEBURG	SC	$3.00M
KOOL SMILES SC-2, PC	ROCK HILL	SC	$2.02M
DR. DAVID M. VIETH 2, PC	SALISBURY	MD	$1.17M
KOOL SMILES SC-2, PC	ANDERSON	SC	$773K

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	41,909	$1.46M
2019	34,585	$1.17M

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	3,097	1,804	$308K
D1120	Prophylaxis - child	7,902	7,902	$275K
D1110	Prophylaxis - adult	3,605	3,605	$181K
D2391	Resin-based composite - one surface, posterior, primary or permanent	2,314	1,457	$177K
D0120	Periodic oral evaluation - established patient	7,236	7,236	$166K
D2930	Prefabricated stainless steel crown - primary tooth	1,287	514	$161K
D0150	Comprehensive oral evaluation - new or established patient	3,650	3,650	$147K
D1351	Sealant - per tooth	4,439	1,484	$133K
D0330	Panoramic radiographic image	2,594	2,594	$130K
D1206	Topical application of fluoride varnish	7,844	7,844	$127K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	3,677	3,435	$119K
D0272	Bitewings - two radiographic images	5,563	5,563	$105K
D0274	Bitewings - four radiographic images	3,437	3,437	$92K
D0220	Intraoral - periapical first radiographic image	6,567	6,506	$84K
D7140	Extraction, erupted tooth or exposed root	892	623	$76K
D0140	Limited oral evaluation - problem focused	1,522	1,516	$57K
D0230	Intraoral - periapical each additional radiographic image	5,340	5,126	$55K
D1208	Topical application of fluoride, excluding varnish	3,100	3,100	$50K
D7111		689	427	$46K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	339	242	$40K
D0145	Oral evaluation for a patient under three years of age	959	959	$34K
D7240	Removal of impacted tooth - completely bony	103	33	$29K
D9223	Deep sedation/general anesthesia - each subsequent 15 minute increment	121	111	$11K
D9222		111	111	$10K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	54	34	$8K
D3220	Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction	52	29	$4K