Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

KOBZA DENTAL, PC

NPI: 1730518697 · PAWNEE CITY, NE 68420 · General Practice Dentistry · NPI assigned 11/01/2013

$69K
Total Medicaid Paid
3,390
Total Claims
3,289
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialKOBZA, JOHN (OWNER/PRESIDENT)
NPI Enumeration Date11/01/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 614 $13K
2019 674 $15K
2020 479 $11K
2021 718 $13K
2022 627 $12K
2023 261 $5K
2024 17 $480.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 1,202 1,165 $27K
D0120 Periodic oral evaluation - established patient 978 977 $22K
D1120 Prophylaxis - child 405 405 $11K
D1999 700 638 $7K
D1110 Prophylaxis - adult 63 62 $2K
D0272 Bitewings - two radiographic images 30 30 $364.00
D0150 Comprehensive oral evaluation - new or established patient 12 12 $264.00