Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Kool Smiles SC-2, PC

Kool Smiles SC-2, PC was paid $773K by Medicaid between Jan 2018 and Nov 2019, across 23 billing codes. Its largest line is D1120, dental cleaning, child — 9.3% of everything it billed.

33Billing provider infoKOOL SMILES SC-2, PC
ANDERSON, SC 29624
33aNPI1972898666assigned 06/10/2011
33bProvider typeEndodontist
28Total paid$773K
24GClaims22,639
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2019
Compared with peers

Next to other Endodontist providers in South Carolina

Rank by total paid#10 of 19
Median peer was paid$773K
This provider vs. median1.0×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
201814,697$500K
20197,942$274K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 9.3% 2,071 2,071 $72K
D1110 Prophylaxis - adult 9.2% 1,428 1,428 $71K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 8.8% 711 448 $68K
D0150 Comprehensive oral evaluation - new or established patient 7.1% 1,369 1,369 $55K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 6.9% 379 251 $53K
D0330 Panoramic radiographic image 6.8% 1,054 1,054 $53K
D2391 Resin-based composite - one surface, posterior, primary or permanent 6.7% 699 411 $52K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 6.4% 2,181 2,181 $50K
D7140 Extraction, erupted tooth or exposed root 5.6% 500 254 $43K
D1351 Sealant - per tooth 5.6% 1,436 455 $43K
D0274 Bitewings - four radiographic images 5.0% 1,444 1,444 $39K
D1206 Topical application of fluoride varnish 4.0% 1,891 1,891 $31K
11 more codes
D0220 Intraoral - periapical first radiographic image 3.4% 2,077 $26K
D0140 Limited oral evaluation - problem focused 3.3% 675 $25K
D0272 Bitewings - two radiographic images 3.2% 1,310 $25K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 2.9% 685 $22K
D1208 Topical application of fluoride, excluding varnish 2.5% 1,213 $20K
D0230 Intraoral - periapical each additional radiographic image 1.7% 1,299 $13K
D0145 Oral evaluation for a patient under three years of age <1% 120 $4K
D7111 <1% 47 $3K
D2930 Prefabricated stainless steel crown - primary tooth <1% 19 $2K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 14 $1K
D0210 Intraoral - complete series of radiographic images <1% 17 $851.53

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

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