Dental
Kool Smiles Ok, PC
Kool Smiles Ok, PC was paid $1.40M by Medicaid between Jan 2018 and Oct 2019, across 22 billing codes. Its largest line is D1120, dental cleaning, child — 14% of everything it billed.
33Billing provider infoKOOL SMILES OK, PC
MIDWEST CITY, OK 73110
MIDWEST CITY, OK 73110
33aNPI1639494149assigned 03/29/2010
33bProvider typeEndodontist
28Total paid$1.40M
24GClaims49,593
24DCodes billed22
24AFirst – last monthJan 2018 – Oct 2019
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MAYFIELD, DALE 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 | 28,254 | $810K | |
| 2019 | 21,339 | $586K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 6,802 | 6,802 | $195K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 1,888 | 1,372 | $168K |
| D1351 | Sealant - per tooth | 7.9% | 4,766 | 1,499 | $110K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.7% | 5,362 | 5,362 | $108K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7.5% | 924 | 671 | $105K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.4% | 1,811 | 1,346 | $104K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.7% | 2,792 | 2,792 | $80K |
| D1208 | Topical application of fluoride, excluding varnish | 5.2% | 5,107 | 5,107 | $73K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.1% | 2,746 | 2,537 | $71K |
| D0330 | Panoramic radiographic image | 5.0% | 1,514 | 1,514 | $70K |
| D1110 | Prophylaxis - adult | 4.2% | 1,367 | 1,367 | $59K |
| D0220 | Intraoral - periapical first radiographic image | 3.7% | 3,566 | 3,525 | $51K |
10 more codes
| D0272 | Bitewings - two radiographic images | 3.3% | 2,667 | $46K |
| D1206 | Topical application of fluoride varnish | 3.1% | 3,028 | $43K |
| D7140 | Extraction, erupted tooth or exposed root | 2.2% | 475 | $30K |
| D0274 | Bitewings - four radiographic images | 2.0% | 962 | $28K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.5% | 2,914 | $21K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 718 | $21K |
| D7111 | <1% | 103 | $6K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 46 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 16 | $2K |
| D2330 | <1% | 19 | $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 officialMAYFIELD, DALE (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| KS2 MS ,PC | Biloxi, MS | $16.22M |
| KS2 MS PC | Hattiesburg, MS | $10.15M |
| 47TH Street Dental Center, LLC | Kansas City, KS | $8.95M |
| KS2 MS, PC | Jackson, MS | $8.50M |
| East 53RD Street Dental-1, PC | Indianapolis, IN | $7.41M |
| East 29TH Street Dental Center, LLC | Topeka, KS | $5.92M |
| Great Plains Dental Group, LLC | Wichita, KS | $5.80M |
| North Mesa Dental, PC | Lubbock, TX | $4.47M |
| KS2 MS PC | Jackson, MS | $4.11M |
| North Mesa Dental, PC | Sherman, TX | $3.99M |
| KS Az-2, PC | Tucson, AZ | $3.66M |
| North Mesa Dental, PC | Lufkin, TX | $3.37M |
| KS2 MS PC | Tupelo, MS | $3.14M |
| North Mesa Dental, PC | Longview, TX | $3.11M |
| North Mesa Dental, PC | Amarillo, TX | $2.93M |
| North Mesa Dental, PC | Wichita Falls, TX | $2.88M |
| North Mesa Dental, PC | San Angelo, TX | $2.77M |
| North Mesa Dental, PC | Longview, TX | $2.27M |
| North Mesa Dental, PC | Odessa, TX | $2.23M |
| KS Az-2, PC | Tucson, AZ | $2.13M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.