Dental
Kool Smiles in FT. Wayne, PC
Kool Smiles in FT. Wayne, PC was paid $7.75M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 22% of everything it billed.
33Billing provider infoKOOL SMILES IN FT. WAYNE, PC
FT. WAYNE, IN 46809
FT. WAYNE, IN 46809
33aNPI1679660278assigned 10/06/2006
33bProvider typeEndodontist
28Total paid$7.75M
24GClaims253,030
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Endodontist providers in Indiana
Rank by total paid#4 of 15
Median peer was paid$4.40M
This provider vs. median1.8×
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 TRAN, TU controls 19+ 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 | 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 | |
| 2024incomplete | 33,443 | $1.46M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 22% | 14,935 | 5,093 | $1.74M |
| D1351 | Sealant - per tooth | 9.8% | 34,441 | 8,491 | $760K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.5% | 21,445 | 20,027 | $579K |
| D1208 | Topical application of fluoride, excluding varnish | 6.8% | 30,848 | 28,794 | $530K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.0% | 25,155 | 23,424 | $462K |
| D1110 | Prophylaxis - adult | 5.5% | 10,620 | 9,927 | $428K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 4.8% | 4,585 | 1,837 | $373K |
| D0272 | Bitewings - two radiographic images | 4.7% | 19,774 | 18,347 | $367K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.1% | 13,277 | 11,724 | $316K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.5% | 5,591 | 3,423 | $272K |
| D7140 | Extraction, erupted tooth or exposed root | 3.1% | 3,329 | 1,948 | $240K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 7,515 | 7,063 | $200K |
20 more codes
| D0210 | Intraoral - complete series of radiographic images | 2.4% | 5,909 | $186K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.4% | 2,899 | $184K |
| D0274 | Bitewings - four radiographic images | 2.2% | 6,844 | $173K |
| D7111 | 1.8% | 2,503 | $141K | |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 14,648 | $126K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.4% | 14,934 | $109K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.3% | 1,702 | $103K |
| D2160 | 1.1% | 1,112 | $87K | |
| D0140 | Limited oral evaluation - problem focused | 1.0% | 3,113 | $81K |
| D7240 | Removal of impacted tooth - completely bony | 1.0% | 258 | $79K |
| D0330 | Panoramic radiographic image | <1% | 3,065 | $73K |
| D1510 | <1% | 343 | $55K | |
| D9920 | <1% | 1,909 | $41K | |
| D2934 | <1% | 250 | $24K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 73 | $9K |
| D2330 | <1% | 130 | $5K | |
| D1206 | Topical application of fluoride varnish | <1% | 81 | $2K |
| D0270 | <1% | 121 | $1K | |
| D2140 | <1% | 23 | $1K | |
| D1999 | 0% | 1,598 | $0.00 |
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 officialTRAN, TU (PRESIDENT)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.