KOBERNIK, JEFFREY
NPI: 1598852303
· PENDLETON, OR 97801
· General Practice Dentistry
· NPI assigned 10/05/2006
$1.89M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,400 |
$213K |
| 2020 |
2,583 |
$391K |
| 2021 |
2,918 |
$521K |
| 2022 |
2,384 |
$348K |
| 2023 |
1,858 |
$301K |
| 2024 |
173 |
$114K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
5,910 |
959 |
$1.11M |
| D9222 |
|
1,121 |
971 |
$236K |
| D7140 |
Extraction, erupted tooth or exposed root |
924 |
240 |
$138K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
197 |
195 |
$130K |
| D9610 |
|
1,082 |
936 |
$98K |
| D9310 |
|
313 |
306 |
$69K |
| D0140 |
Limited oral evaluation - problem focused |
772 |
721 |
$61K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
130 |
76 |
$37K |
| D9219 |
|
841 |
805 |
$15K |
| D1330 |
|
13 |
13 |
$126.52 |
| D0367 |
|
13 |
13 |
$0.00 |