Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › FT. WAYNE › KOOL SMILES IN FT. WAYNE, PC

KOOL SMILES IN FT. WAYNE, PC

NPI: 1679660278 · FT. WAYNE, IN 46809 · Endodontist · NPI assigned 10/06/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official TRAN, TU controls 19+ related entities in our dataset. Read more

$7.75M
Total Medicaid Paid
253,030
Total Claims
192,263
Beneficiaries
32
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTRAN, TU (PRESIDENT)
NPI Enumeration Date10/06/2006

Related Entities

Other providers sharing the same authorized official: TRAN, TU

ProviderCityStateTotal Paid
CANDLER ROAD DENTAL, PC DECATUR GA $123.84M
KOOL SMILES, PSC LEXINGTON KY $30.67M
CRESTON DENTAL-1, P.C. ANDERSON SC $14.78M
KOOL SMILES IN-3, PC EVANSVILLE IN $12.44M
KOOL SMILES IN-3, PC TERRA HAUTE IN $4.80M
KOOL SMILES, PC GREENVILLE SC $4.34M
KOOL SMILES, PC SUMTER SC $4.16M
KOOL SMILES IN-3, PC HIGHLAND BRA IN $4.04M
DENTISTRY OF BROWNSVILLE, PC BRYAN TX $3.54M
DENTISTRY OF BROWNSVILLE PC KILLEEN TX $2.68M
DENTISTRY OF BROWNSVILLE, PC WACO TX $2.29M
DENTISTRY OF BROWNSVILLE, PC SAN ANTONIO TX $2.15M
DENTISTRY OF BROWNSVILLE, PC LEON VALLEY TX $2.05M
DENTISTRY OF BROWNSVILLE, PC TEXARKANA TX $2.00M
KOOL SMILES, PSC LOUISVILLE KY $1.76M
CANDLER ROAD DENTAL, PC COLUMBUS GA $928K
DENTISTRY OF BROWNSVILLE, PC LAREDO TX $809K
BETHEL P.C. HAMPTON VA $154K
DENTISTRY OF BROWNSVILLE, PC HOUSTON TX $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 53,674 $211K
2019 55,574 $2.08M
2020 16,171 $544K
2021 22,567 $793K
2022 32,963 $1.28M
2023 38,638 $1.37M
2024 33,443 $1.46M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2930 Prefabricated stainless steel crown - primary tooth 14,935 5,093 $1.74M
D1351 Sealant - per tooth 34,441 8,491 $760K
D1120 Prophylaxis - child 21,445 20,027 $579K
D1208 Topical application of fluoride, excluding varnish 30,848 28,794 $530K
D0120 Periodic oral evaluation - established patient 25,155 23,424 $462K
D1110 Prophylaxis - adult 10,620 9,927 $428K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 4,585 1,837 $373K
D0272 Bitewings - two radiographic images 19,774 18,347 $367K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 13,277 11,724 $316K
D2391 Resin-based composite - one surface, posterior, primary or permanent 5,591 3,423 $272K
D7140 Extraction, erupted tooth or exposed root 3,329 1,948 $240K
D0150 Comprehensive oral evaluation - new or established patient 7,515 7,063 $200K
D0210 Intraoral - complete series of radiographic images 5,909 5,493 $186K
D2150 Silver amalgam - two surfaces, primary or permanent 2,899 1,640 $184K
D0274 Bitewings - four radiographic images 6,844 6,368 $173K
D7111 2,503 1,414 $141K
D0220 Intraoral - periapical first radiographic image 14,648 13,425 $126K
D0230 Intraoral - periapical each additional radiographic image 14,934 12,598 $109K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,702 1,244 $103K
D2160 1,112 724 $87K
D0140 Limited oral evaluation - problem focused 3,113 2,870 $81K
D7240 Removal of impacted tooth - completely bony 258 81 $79K
D0330 Panoramic radiographic image 3,065 2,768 $73K
D1510 343 258 $55K
D9920 1,909 1,574 $41K
D2934 250 112 $24K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 73 31 $9K
D2330 130 92 $5K
D1206 Topical application of fluoride varnish 81 81 $2K
D0270 121 112 $1K
D2140 23 13 $1K
D1999 1,598 1,267 $0.00