Dental
Kool Smiles In-3, PC
Kool Smiles In-3, PC was paid $3.26M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is D1351, Sealant - per tooth — 14% of everything it billed.
33Billing provider infoKOOL SMILES IN-3, PC
ELKHART, IN 46517
ELKHART, IN 46517
33aNPI1447559166assigned 03/21/2011
33bProvider typeEndodontist
28Total paid$3.26M
24GClaims114,932
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Endodontist providers in Indiana
Rank by total paid#10 of 15
Median peer was paid$4.40M
This provider vs. median0.7×
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 VIETH, DAVID controls 20+ 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 | 9,820 | $49K | |
| 2019 | 11,639 | $366K | |
| 2020 | 8,313 | $245K | |
| 2021 | 15,079 | $444K | |
| 2022 | 23,576 | $622K | |
| 2023 | 19,065 | $605K | |
| 2024incomplete | 27,440 | $926K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 14% | 17,895 | 2,990 | $465K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.4% | 9,963 | 9,100 | $306K |
| D1206 | Topical application of fluoride varnish | 8.2% | 13,338 | 12,146 | $268K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.2% | 11,102 | 10,147 | $235K |
| D1110 | Prophylaxis - adult | 7.0% | 5,046 | 4,587 | $228K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 5.5% | 2,466 | 1,442 | $180K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.8% | 1,337 | 728 | $156K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.7% | 4,813 | 4,416 | $155K |
| D0210 | Intraoral - complete series of radiographic images | 4.7% | 3,435 | 3,116 | $152K |
| D7140 | Extraction, erupted tooth or exposed root | 4.5% | 1,874 | 1,045 | $148K |
| D2140 | 4.5% | 2,790 | 1,630 | $147K | |
| D0272 | Bitewings - two radiographic images | 4.2% | 7,340 | 6,741 | $138K |
19 more codes
| D0274 | Bitewings - four radiographic images | 3.6% | 4,874 | $117K |
| D0220 | Intraoral - periapical first radiographic image | 2.7% | 8,360 | $90K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.5% | 3,333 | $83K |
| D4346 | 2.5% | 444 | $81K | |
| D0140 | Limited oral evaluation - problem focused | 2.2% | 2,172 | $72K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.1% | 7,659 | $69K |
| D0330 | Panoramic radiographic image | 1.9% | 2,990 | $60K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.0% | 503 | $33K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 422 | $23K |
| D7240 | Removal of impacted tooth - completely bony | <1% | 43 | $14K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 79 | $11K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 966 | $7K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 78 | $7K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 56 | $5K |
| D2160 | <1% | 30 | $3K | |
| D2332 | <1% | 19 | $2K | |
| D7111 | <1% | 40 | $2K | |
| D9920 | <1% | 44 | $1K | |
| D1999 | <1% | 1,421 | $780.00 |
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 officialVIETH, DAVID (PRESIDENT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.