Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SC › GREENVILLE › KOOL SMILES, PC

KOOL SMILES, PC

NPI: 1871682328 · GREENVILLE, SC 29611 · Endodontist · NPI assigned 10/12/2006

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

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

$4.34M
Total Medicaid Paid
131,145
Total Claims
120,416
Beneficiaries
25
Codes Billed
2018-01
First Month
2021-04
Last Month

Provider Details

Authorized OfficialTRAN, TU (PRESIDENT)
NPI Enumeration Date10/12/2006

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 48,607 $1.56M
2019 40,034 $1.32M
2020 31,509 $1.07M
2021 10,995 $391K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 14,348 14,348 $499K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 4,420 2,906 $446K
D1110 Prophylaxis - adult 7,047 7,047 $354K
D2391 Resin-based composite - one surface, posterior, primary or permanent 4,451 3,076 $339K
D0120 Periodic oral evaluation - established patient 14,431 14,431 $331K
D1206 Topical application of fluoride varnish 18,311 18,311 $296K
D1351 Sealant - per tooth 8,680 3,221 $260K
D0150 Comprehensive oral evaluation - new or established patient 5,820 5,820 $234K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 6,003 5,692 $195K
D0330 Panoramic radiographic image 3,842 3,842 $192K
D0272 Bitewings - two radiographic images 9,972 9,972 $188K
D0274 Bitewings - four radiographic images 6,623 6,623 $180K
D7140 Extraction, erupted tooth or exposed root 2,079 1,344 $179K
D0220 Intraoral - periapical first radiographic image 9,345 9,272 $119K
D2930 Prefabricated stainless steel crown - primary tooth 729 445 $92K
D7111 1,357 888 $90K
D0230 Intraoral - periapical each additional radiographic image 6,996 6,748 $73K
D0140 Limited oral evaluation - problem focused 1,837 1,823 $69K
D0145 Oral evaluation for a patient under three years of age 1,356 1,356 $49K
D1208 Topical application of fluoride, excluding varnish 2,708 2,708 $44K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 337 271 $42K
D7240 Removal of impacted tooth - completely bony 130 42 $37K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 173 126 $24K
D2331 118 80 $10K
D2330 32 24 $2K