Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › TERRA HAUTE › KOOL SMILES IN-3, PC

KOOL SMILES IN-3, PC

NPI: 1750584009 · TERRA HAUTE, IN 47804 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 06/06/2007

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

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

$4.80M
Total Medicaid Paid
178,459
Total Claims
135,742
Beneficiaries
31
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTRAN, TU (PRESIDENT)
NPI Enumeration Date06/06/2007

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 FT. WAYNE, PC FT. WAYNE IN $7.75M
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 38,059 $174K
2019 36,942 $1.30M
2020 14,693 $445K
2021 14,036 $436K
2022 16,562 $452K
2023 45,268 $1.52M
2024 12,899 $470K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2930 Prefabricated stainless steel crown - primary tooth 5,284 2,670 $592K
D1351 Sealant - per tooth 25,610 5,706 $578K
D1120 Prophylaxis - child 16,824 15,522 $454K
D1206 Topical application of fluoride varnish 20,960 19,443 $378K
D0120 Periodic oral evaluation - established patient 17,251 16,099 $329K
D1110 Prophylaxis - adult 6,804 6,282 $268K
D2140 5,501 3,413 $241K
D0272 Bitewings - two radiographic images 12,685 11,624 $229K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 9,107 7,632 $210K
D2150 Silver amalgam - two surfaces, primary or permanent 3,356 2,124 $209K
D0150 Comprehensive oral evaluation - new or established patient 7,207 6,458 $182K
D0330 Panoramic radiographic image 4,589 4,058 $166K
D7140 Extraction, erupted tooth or exposed root 2,678 1,552 $165K
D0274 Bitewings - four radiographic images 5,509 5,060 $141K
D0210 Intraoral - complete series of radiographic images 3,284 2,957 $120K
D0220 Intraoral - periapical first radiographic image 11,080 10,000 $96K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 959 607 $81K
D0230 Intraoral - periapical each additional radiographic image 11,712 7,994 $76K
D0140 Limited oral evaluation - problem focused 2,243 1,972 $71K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 478 268 $37K
D4346 185 171 $34K
D2160 342 240 $29K
D2391 Resin-based composite - one surface, posterior, primary or permanent 468 267 $28K
D1208 Topical application of fluoride, excluding varnish 1,445 1,282 $17K
D2330 275 184 $16K
D7240 Removal of impacted tooth - completely bony 50 12 $15K
D1999 2,136 1,826 $14K
D7111 137 86 $9K
D2332 64 41 $6K
D2335 38 25 $6K
D9920 198 167 $3K