Dental
Kool Smiles SC-2, PC
Kool Smiles SC-2, PC was paid $28.46M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is D1120, dental cleaning, child — 9.1% of everything it billed.
33Billing provider infoKOOL SMILES SC-2, PC
CHARLESTON, SC 29405
CHARLESTON, SC 29405
33aNPI1992018899assigned 07/20/2010
33bProvider typeEndodontist
28Total paid$28.46M
24GClaims770,352
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Endodontist providers in South Carolina
Rank by total paid#1 of 19
Median peer was paid$773K
This provider vs. median37×
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 | 32,971 | $1.12M | |
| 2019 | 40,257 | $1.45M | |
| 2020 | 134,877 | $5.32M | |
| 2021 | 149,891 | $5.65M | |
| 2022 | 139,471 | $5.13M | |
| 2023 | 120,743 | $3.75M | |
| 2024incomplete | 152,142 | $6.05M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 9.1% | 74,037 | 74,037 | $2.60M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.5% | 23,596 | 15,724 | $2.42M |
| D1110 | Prophylaxis - adult | 7.7% | 43,397 | 43,397 | $2.20M |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7.7% | 17,144 | 5,657 | $2.20M |
| D1206 | Topical application of fluoride varnish | 6.1% | 105,226 | 105,226 | $1.74M |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.9% | 40,753 | 40,753 | $1.68M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.8% | 70,325 | 70,324 | $1.66M |
| D1351 | Sealant - per tooth | 5.4% | 50,318 | 16,919 | $1.53M |
| D7240 | Removal of impacted tooth - completely bony | 5.3% | 5,451 | 1,556 | $1.50M |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.2% | 17,132 | 12,000 | $1.49M |
| D0274 | Bitewings - four radiographic images | 4.0% | 41,518 | 41,518 | $1.15M |
| D0272 | Bitewings - two radiographic images | 3.5% | 52,822 | 52,822 | $1.01M |
27 more codes
| D0330 | Panoramic radiographic image | 3.5% | 27,478 | $1.00M |
| D7140 | Extraction, erupted tooth or exposed root | 3.4% | 9,636 | $978K |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 65,988 | $853K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.5% | 22,126 | $724K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.0% | 53,459 | $573K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.8% | 4,129 | $518K |
| D0140 | Limited oral evaluation - problem focused | 1.7% | 12,692 | $473K |
| D0145 | Oral evaluation for a patient under three years of age | 1.2% | 7,497 | $340K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.1% | 3,900 | $326K |
| D9222 | 1.1% | 3,364 | $319K | |
| D2934 | <1% | 2,132 | $272K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | <1% | 2,063 | $188K |
| D7111 | <1% | 2,391 | $159K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 1,108 | $156K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 7,092 | $116K |
| D2330 | <1% | 1,243 | $96K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 799 | $63K |
| D2140 | <1% | 735 | $44K | |
| D9920 | <1% | 536 | $28K | |
| D7230 | <1% | 86 | $20K | |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | <1% | 16 | $10K |
| D2331 | <1% | 67 | $6K | |
| D2950 | <1% | 34 | $5K | |
| D7220 | <1% | 18 | $3K | |
| D2160 | <1% | 16 | $1K | |
| D2931 | <1% | 14 | $1K | |
| D9310 | <1% | 14 | $879.00 |
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)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.