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

Kool Smiles SC-2, PC

Kool Smiles SC-2, PC was paid $4.22M by Medicaid between Jan 2018 and Dec 2019, across 30 billing codes. Its largest line is D1120, dental cleaning, child — 12% of everything it billed.

33Billing provider infoKOOL SMILES SC-2, PC
COLUMBIA, SC 29206
33aNPI1568775468assigned 07/20/2010
33bProvider typeEndodontist
28Total paid$4.22M
24GClaims126,091
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers

Next to other Endodontist providers in South Carolina

Rank by total paid#4 of 19
Median peer was paid$773K
This provider vs. median5.5×

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

$0$100K$200K$300K2018201920202021202220232024
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
201865,223$2.17M
201960,868$2.04M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 12% 14,700 14,700 $510K
D2930 Prefabricated stainless steel crown - primary tooth 11% 3,607 2,011 $452K
D1206 Topical application of fluoride varnish 6.8% 17,632 17,632 $285K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 6.4% 11,718 11,718 $268K
D1351 Sealant - per tooth 6.1% 8,614 3,028 $257K
D1110 Prophylaxis - adult 5.8% 4,900 4,900 $246K
D0150 Comprehensive oral evaluation - new or established patient 5.8% 6,110 6,110 $246K
D0330 Panoramic radiographic image 4.8% 4,058 4,058 $202K
D0272 Bitewings - two radiographic images 4.5% 10,038 10,038 $189K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 4.0% 5,244 5,071 $170K
D7140 Extraction, erupted tooth or exposed root 3.6% 1,807 1,171 $154K
D0274 Bitewings - four radiographic images 3.3% 5,152 5,152 $140K
18 more codes
D2150 Silver amalgam - two surfaces, primary or permanent 3.3% 1,782 $139K
D0220 Intraoral - periapical first radiographic image 3.2% 10,457 $133K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 3.1% 1,283 $130K
D2140 2.6% 1,825 $108K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2.1% 1,143 $88K
D0230 Intraoral - periapical each additional radiographic image 2.0% 7,994 $82K
D0145 Oral evaluation for a patient under three years of age 1.9% 2,224 $80K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 1.9% 968 $79K
D2934 1.5% 507 $64K
D0140 Limited oral evaluation - problem focused 1.3% 1,511 $57K
D7240 Removal of impacted tooth - completely bony <1% 119 $33K
D1208 Topical application of fluoride, excluding varnish <1% 1,727 $28K
D7111 <1% 364 $24K
D2160 <1% 210 $20K
D2330 <1% 290 $19K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 68 $8K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth <1% 15 $2K
D9920 <1% 24 $1K

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)
Same official

Other billing entities under VIETH, DAVID

Full network →

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