KOOL SMILES SC-2, PC

NPI: 1972898666 · ANDERSON, SC 29624 · Endodontist · NPI assigned 06/10/2011

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$773K

Total Medicaid Paid

22,639

Total Claims

20,548

Beneficiaries

Codes Billed

2018-01

First Month

2019-11

Last Month

Provider Details

Authorized Official	VIETH, DAVID (PRESIDENT)
NPI Enumeration Date	06/10/2011

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
KOOL SMILES SC-2, PC	ROCK HILL	SC	$2.02M
DR. DAVID M. VIETH 2, PC	SALISBURY	MD	$1.17M

Year	Claims	Total Paid
2018	14,697	$500K
2019	7,942	$274K

Code	Description	Claims	Beneficiaries	Total Paid
D1120	Prophylaxis - child	2,071	2,071	$72K
D1110	Prophylaxis - adult	1,428	1,428	$71K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	711	448	$68K
D0150	Comprehensive oral evaluation - new or established patient	1,369	1,369	$55K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	379	251	$53K
D0330	Panoramic radiographic image	1,054	1,054	$53K
D2391	Resin-based composite - one surface, posterior, primary or permanent	699	411	$52K
D0120	Periodic oral evaluation - established patient	2,181	2,181	$50K
D7140	Extraction, erupted tooth or exposed root	500	254	$43K
D1351	Sealant - per tooth	1,436	455	$43K
D0274	Bitewings - four radiographic images	1,444	1,444	$39K
D1206	Topical application of fluoride varnish	1,891	1,891	$31K
D0220	Intraoral - periapical first radiographic image	2,077	2,031	$26K
D0140	Limited oral evaluation - problem focused	675	662	$25K
D0272	Bitewings - two radiographic images	1,310	1,310	$25K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	685	641	$22K
D1208	Topical application of fluoride, excluding varnish	1,213	1,213	$20K
D0230	Intraoral - periapical each additional radiographic image	1,299	1,246	$13K
D0145	Oral evaluation for a patient under three years of age	120	120	$4K
D7111		47	27	$3K
D2930	Prefabricated stainless steel crown - primary tooth	19	12	$2K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	14	12	$1K
D0210	Intraoral - complete series of radiographic images	17	17	$851.53