Dental
Kobernik, Jeffrey
Kobernik, Jeffrey was paid $1.89M by Medicaid between Mar 2019 and Nov 2024, across 11 billing codes. Its largest line is D9223, Deep sedation/general anesthesia - each subsequent 15 minute increment — 59% of everything it billed.
33Billing provider infoKOBERNIK, JEFFREY
PENDLETON, OR 97801
PENDLETON, OR 97801
33aNPI1598852303assigned 10/05/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$1.89M
24GClaims11,316
24DCodes billed11
24AFirst – last monthMar 2019 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Oregon
Rank by total paid#4 of 311
Median peer was paid$6K
This provider vs. median294×
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.
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 | |
|---|---|---|---|
| 2019 | 1,400 | $213K | |
| 2020 | 2,583 | $391K | |
| 2021 | 2,918 | $521K | |
| 2022 | 2,384 | $348K | |
| 2023 | 1,858 | $301K | |
| 2024incomplete | 173 | $114K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 59% | 5,910 | 959 | $1.11M |
| D9222 | 13% | 1,121 | 971 | $236K | |
| D7140 | Extraction, erupted tooth or exposed root | 7.3% | 924 | 240 | $138K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | 6.9% | 197 | 195 | $130K |
| D9610 | 5.2% | 1,082 | 936 | $98K | |
| D9310 | 3.6% | 313 | 306 | $69K | |
| D0140 | Limited oral evaluation - problem focused | 3.2% | 772 | 721 | $61K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.9% | 130 | 76 | $37K |
| D9219 | <1% | 841 | 805 | $15K | |
| D1330 | <1% | 13 | 13 | $126.52 | |
| D0367 | 0% | 13 | 13 | $0.00 |
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.