Kool Smiles SC-2, PC

Kool Smiles SC-2, PC was paid $2.02M by Medicaid between Jan 2018 and Dec 2019, across 22 billing codes. Its largest line is D1120, dental cleaning, child — 13% of everything it billed.

33Billing provider infoKOOL SMILES SC-2, PC
ROCK HILL, SC 29732

33aNPI1952685810assigned 10/10/2011

33bProvider typeEndodontist

28Total paid$2.02M

24GClaims64,562

24DCodes billed22

24AFirst – last monthJan 2018 – Dec 2019

Compared with peers

Next to other Endodontist providers in South Carolina

Rank by total paid#8 of 19

Median peer was paid$773K

This provider vs. median2.6×

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 VIETH, DAVID controls 20+ 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	35,461	$1.11M
2019	29,101	$907K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	13%	7,907	7,892	$273K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	9.9%	1,993	1,595	$200K
D2391	Resin-based composite - one surface, posterior, primary or permanent	7.8%	2,075	1,592	$159K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	7.3%	6,421	6,410	$147K
D0150	Comprehensive oral evaluation - new or established patient	6.6%	3,312	3,307	$133K
D1110	Prophylaxis - adult	6.6%	2,661	2,659	$133K
D1208	Topical application of fluoride, excluding varnish	6.1%	7,649	7,634	$123K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	5.4%	3,360	3,158	$110K
D0330	Panoramic radiographic image	5.1%	2,055	2,051	$102K
D0272	Bitewings - two radiographic images	4.8%	5,226	5,218	$98K
D1351	Sealant - per tooth	4.8%	3,232	1,143	$96K
D0220	Intraoral - periapical first radiographic image	3.9%	6,171	6,119	$79K

10 more codes

D2930	Prefabricated stainless steel crown - primary tooth	3.8%	611	$77K
D0274	Bitewings - four radiographic images	3.4%	2,544	$69K
D7140	Extraction, erupted tooth or exposed root	2.5%	588	$50K
D0140	Limited oral evaluation - problem focused	2.4%	1,268	$48K
D0230	Intraoral - periapical each additional radiographic image	2.1%	4,044	$42K
D1206	Topical application of fluoride varnish	1.9%	2,419	$39K
D0145	Oral evaluation for a patient under three years of age	1.5%	876	$31K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	<1%	40	$5K
D3220	Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction	<1%	49	$4K
D7111		<1%	61	$4K

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 (PRESIDENT)

Same official

Other billing entities under VIETH, DAVID

Full network →

Provider	Location	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
DR. David M. Vieth 2, PC	Salisbury, MD	$1.17M
Kool Smiles SC-2, PC	Anderson, SC	$773K

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