Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Kool Smiles In-3, PC

Kool Smiles In-3, PC was paid $247K by Medicaid between Jan 2018 and Dec 2019, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 13% of everything it billed.

33Billing provider infoKOOL SMILES IN-3, PC
GARY, IN 46402
33aNPI1750606059assigned 03/30/2010
28Total paid$247K
24GClaims16,527
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers

Next to other General Practice Dentistry providers in Indiana

Rank by total paid#205 of 723
Median peer was paid$60K
This provider vs. median4.2×

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 VIETH, DAVID controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20189,294$43K
20197,233$204K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 13% 1,784 1,742 $31K
D1206 Topical application of fluoride varnish 8.7% 1,574 1,533 $22K
D0150 Comprehensive oral evaluation - new or established patient 8.2% 1,167 1,131 $20K
D2930 Prefabricated stainless steel crown - primary tooth 7.4% 327 161 $18K
D1351 Sealant - per tooth 7.2% 1,262 370 $18K
D0272 Bitewings - two radiographic images 7.0% 1,377 1,348 $17K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 6.9% 1,339 1,305 $17K
D2150 Silver amalgam - two surfaces, primary or permanent 5.1% 312 214 $13K
D1110 Prophylaxis - adult 4.6% 460 444 $11K
D0140 Limited oral evaluation - problem focused 4.5% 505 476 $11K
D0210 Intraoral - complete series of radiographic images 4.4% 772 669 $11K
D2140 4.1% 397 283 $10K
7 more codes
D0220 Intraoral - periapical first radiographic image 4.0% 1,551 $10K
D0230 Intraoral - periapical each additional radiographic image 3.9% 1,994 $10K
D0274 Bitewings - four radiographic images 3.3% 406 $8K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 3.0% 521 $7K
D7140 Extraction, erupted tooth or exposed root 2.7% 146 $7K
D0330 Panoramic radiographic image 1.2% 76 $3K
D1208 Topical application of fluoride, excluding varnish 1.0% 557 $3K

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 officialVIETH, DAVID (SECRETARY/TREASURER)
Same official

Other billing entities under VIETH, DAVID

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.