KOOL SMILES SC-2, PC

NPI: 1568775468 · COLUMBIA, SC 29206 · Endodontist · NPI assigned 07/20/2010

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$4.22M

Total Medicaid Paid

126,091

Total Claims

115,255

Beneficiaries

Codes Billed

2018-01

First Month

2019-12

Last Month

Provider Details

Authorized Official	VIETH, DAVID (PRESIDENT)
NPI Enumeration Date	07/20/2010

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 IN-3, PC	ELKHART	IN	$3.26M
KOOL SMILES SC-2, PC	ORANGEBURG	SC	$3.00M
KOOL SMILES SC-2, PC	GREENVILLE	SC	$2.63M
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	65,223	$2.17M
2019	60,868	$2.04M

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D1120	Prophylaxis - child	14,700	14,700	$510K
D2930	Prefabricated stainless steel crown - primary tooth	3,607	2,011	$452K
D1206	Topical application of fluoride varnish	17,632	17,632	$285K
D0120	Periodic oral evaluation - established patient	11,718	11,718	$268K
D1351	Sealant - per tooth	8,614	3,028	$257K
D1110	Prophylaxis - adult	4,900	4,900	$246K
D0150	Comprehensive oral evaluation - new or established patient	6,110	6,110	$246K
D0330	Panoramic radiographic image	4,058	4,058	$202K
D0272	Bitewings - two radiographic images	10,038	10,038	$189K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	5,244	5,071	$170K
D7140	Extraction, erupted tooth or exposed root	1,807	1,171	$154K
D0274	Bitewings - four radiographic images	5,152	5,152	$140K
D2150	Silver amalgam - two surfaces, primary or permanent	1,782	1,291	$139K
D0220	Intraoral - periapical first radiographic image	10,457	10,389	$133K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	1,283	942	$130K
D2140		1,825	1,389	$108K
D2391	Resin-based composite - one surface, posterior, primary or permanent	1,143	851	$88K
D0230	Intraoral - periapical each additional radiographic image	7,994	7,652	$82K
D0145	Oral evaluation for a patient under three years of age	2,224	2,224	$80K
D3220	Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction	968	696	$79K
D2934		507	217	$64K
D0140	Limited oral evaluation - problem focused	1,511	1,502	$57K
D7240	Removal of impacted tooth - completely bony	119	38	$33K
D1208	Topical application of fluoride, excluding varnish	1,727	1,727	$28K
D7111		364	267	$24K
D2160		210	169	$20K
D2330		290	221	$19K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	68	55	$8K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	15	12	$2K
D9920		24	24	$1K