Dental
Kool Smiles, PC
Kool Smiles, PC was paid $4.34M by Medicaid between Jan 2018 and Apr 2021, across 25 billing codes. Its largest line is D1120, dental cleaning, child — 11% of everything it billed.
33Billing provider infoKOOL SMILES, PC
GREENVILLE, SC 29611
GREENVILLE, SC 29611
33aNPI1871682328assigned 10/12/2006
33bProvider typeEndodontist
28Total paid$4.34M
24GClaims131,145
24DCodes billed25
24AFirst – last monthJan 2018 – Apr 2021
Compared with peers
Next to other Endodontist providers in South Carolina
Rank by total paid#3 of 19
Median peer was paid$773K
This provider vs. median5.6×
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 | 48,607 | $1.56M | |
| 2019 | 40,034 | $1.32M | |
| 2020 | 31,509 | $1.07M | |
| 2021 | 10,995 | $391K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 14,348 | 14,348 | $499K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 4,420 | 2,906 | $446K |
| D1110 | Prophylaxis - adult | 8.2% | 7,047 | 7,047 | $354K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.8% | 4,451 | 3,076 | $339K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.6% | 14,431 | 14,431 | $331K |
| D1206 | Topical application of fluoride varnish | 6.8% | 18,311 | 18,311 | $296K |
| D1351 | Sealant - per tooth | 6.0% | 8,680 | 3,221 | $260K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.4% | 5,820 | 5,820 | $234K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.5% | 6,003 | 5,692 | $195K |
| D0330 | Panoramic radiographic image | 4.4% | 3,842 | 3,842 | $192K |
| D0272 | Bitewings - two radiographic images | 4.3% | 9,972 | 9,972 | $188K |
| D0274 | Bitewings - four radiographic images | 4.1% | 6,623 | 6,623 | $180K |
13 more codes
| D7140 | Extraction, erupted tooth or exposed root | 4.1% | 2,079 | $179K |
| D0220 | Intraoral - periapical first radiographic image | 2.7% | 9,345 | $119K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.1% | 729 | $92K |
| D7111 | 2.1% | 1,357 | $90K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.7% | 6,996 | $73K |
| D0140 | Limited oral evaluation - problem focused | 1.6% | 1,837 | $69K |
| D0145 | Oral evaluation for a patient under three years of age | 1.1% | 1,356 | $49K |
| D1208 | Topical application of fluoride, excluding varnish | 1.0% | 2,708 | $44K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 337 | $42K |
| D7240 | Removal of impacted tooth - completely bony | <1% | 130 | $37K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 173 | $24K |
| D2331 | <1% | 118 | $10K | |
| D2330 | <1% | 32 | $2K |
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 FT. Wayne, PC | Ft. Wayne, IN | $7.75M |
| Kool Smiles In-3, PC | Terra Haute, IN | $4.80M |
| 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.