KOOL SMILES SC-2, PC

NPI: 1952685810 · ROCK HILL, SC 29732 · Endodontist · NPI assigned 10/10/2011

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$2.02M

Total Medicaid Paid

64,562

Total Claims

60,814

Beneficiaries

Codes Billed

2018-01

First Month

2019-12

Last Month

Provider Details

Authorized Official	VIETH, DAVID (PRESIDENT)
NPI Enumeration Date	10/10/2011

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
DR. DAVID M. VIETH 2, PC	SALISBURY	MD	$1.17M
KOOL SMILES SC-2, PC	ANDERSON	SC	$773K

Year	Claims	Total Paid
2018	35,461	$1.11M
2019	29,101	$907K

Code	Description	Claims	Beneficiaries	Total Paid
D1120	Prophylaxis - child	7,907	7,892	$273K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	1,993	1,595	$200K
D2391	Resin-based composite - one surface, posterior, primary or permanent	2,075	1,592	$159K
D0120	Periodic oral evaluation - established patient	6,421	6,410	$147K
D0150	Comprehensive oral evaluation - new or established patient	3,312	3,307	$133K
D1110	Prophylaxis - adult	2,661	2,659	$133K
D1208	Topical application of fluoride, excluding varnish	7,649	7,634	$123K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	3,360	3,158	$110K
D0330	Panoramic radiographic image	2,055	2,051	$102K
D0272	Bitewings - two radiographic images	5,226	5,218	$98K
D1351	Sealant - per tooth	3,232	1,143	$96K
D0220	Intraoral - periapical first radiographic image	6,171	6,119	$79K
D2930	Prefabricated stainless steel crown - primary tooth	611	468	$77K
D0274	Bitewings - four radiographic images	2,544	2,542	$69K
D7140	Extraction, erupted tooth or exposed root	588	426	$50K
D0140	Limited oral evaluation - problem focused	1,268	1,253	$48K
D0230	Intraoral - periapical each additional radiographic image	4,044	3,937	$42K
D1206	Topical application of fluoride varnish	2,419	2,416	$39K
D0145	Oral evaluation for a patient under three years of age	876	874	$31K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	40	36	$5K
D3220	Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction	49	38	$4K
D7111		61	46	$4K