KOOL SMILES IN-3, PC

NPI: 1750606059 · GARY, IN 46402 · General Practice Dentistry · NPI assigned 03/30/2010

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official VIETH, DAVID controls 20+ related entities in our dataset. Read more

$247K

Total Medicaid Paid

16,527

Total Claims

13,999

Beneficiaries

Codes Billed

2018-01

First Month

2019-12

Last Month

Provider Details

Authorized Official	VIETH, DAVID (SECRETARY/TREASURER)
NPI Enumeration Date	03/30/2010

Other providers sharing the same authorized official: VIETH, DAVID

Provider	City	State	Total Paid
DR. DAVID M. VIETH 2, P.C.	HAGERSTOWN	MD	$77.65M
DR DAVID M VIETH PC	TAKOMA PARK	MD	$45.71M
DR. DAVID M. VIETH 2, PC	BROOKLYN	MD	$35.07M
KOOL SMILES SC-2, PC	CHARLESTON	SC	$28.46M
DAVID M VIETH, DDS, A PROFESSIONAL CORPORATION	LAFAYETTE	LA	$22.57M
DAVID M. VIETH, DDS, A PROFESSIONAL CORPORATION	NEW ORLEANS	LA	$12.46M
DAVID M. VIETH DDS, A PROFESSIONAL CORPORATION	METAIRIE	LA	$11.51M
DAVID M VIETH DDS, A PROFESSIONAL CORPORATION	BATON ROUGE	LA	$10.61M
EAST 53RD STREET DENTAL-2, P.C.	INDIANAPOLIS	IN	$8.94M
DR. DAVID M. VIETH DDS, A PROFESSIONAL CORPORATION	GRETNA	LA	$7.23M
DAVID M VIETH DDS - A PROFESSIONAL CORPORATION	MONROE	LA	$7.21M
DAVID M VIETH DDS, A PROFESSIONAL CORPORATION	LAKE CHARLES	LA	$5.56M
KOOL SMILES IN-3, PC	LAFAYETTE	IN	$5.15M
DAVID M. VIETH DDS, A PROFESSIONAL CORPORATION	SHREVEPORT	LA	$4.92M
KOOL SMILES SC-2, PC	COLUMBIA	SC	$4.22M
KOOL SMILES IN-3, PC	ELKHART	IN	$3.26M
KOOL SMILES SC-2, PC	ORANGEBURG	SC	$3.00M
KOOL SMILES SC-2, PC	GREENVILLE	SC	$2.63M
KOOL SMILES SC-2, PC	ROCK HILL	SC	$2.02M
DR. DAVID M. VIETH 2, PC	SALISBURY	MD	$1.17M

Year	Claims	Total Paid
2018	9,294	$43K
2019	7,233	$204K

Code	Description	Claims	Beneficiaries	Total Paid
D1120	Prophylaxis - child	1,784	1,742	$31K
D1206	Topical application of fluoride varnish	1,574	1,533	$22K
D0150	Comprehensive oral evaluation - new or established patient	1,167	1,131	$20K
D2930	Prefabricated stainless steel crown - primary tooth	327	161	$18K
D1351	Sealant - per tooth	1,262	370	$18K
D0272	Bitewings - two radiographic images	1,377	1,348	$17K
D0120	Periodic oral evaluation - established patient	1,339	1,305	$17K
D2150	Silver amalgam - two surfaces, primary or permanent	312	214	$13K
D1110	Prophylaxis - adult	460	444	$11K
D0140	Limited oral evaluation - problem focused	505	476	$11K
D0210	Intraoral - complete series of radiographic images	772	669	$11K
D2140		397	283	$10K
D0220	Intraoral - periapical first radiographic image	1,551	1,471	$10K
D0230	Intraoral - periapical each additional radiographic image	1,994	1,293	$10K
D0274	Bitewings - four radiographic images	406	390	$8K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	521	451	$7K
D7140	Extraction, erupted tooth or exposed root	146	97	$7K
D0330	Panoramic radiographic image	76	75	$3K
D1208	Topical application of fluoride, excluding varnish	557	546	$3K