Dental
Kobza Dental, PC
Kobza Dental, PC was paid $69K by Medicaid between Jan 2018 and Aug 2024, across 7 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 40% of everything it billed.
33Billing provider infoKOBZA DENTAL, PC
PAWNEE CITY, NE 68420
PAWNEE CITY, NE 68420
33aNPI1730518697assigned 11/01/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$69K
24GClaims3,390
24DCodes billed7
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other General Practice Dentistry providers in Nebraska
Rank by total paid#60 of 201
Median peer was paid$21K
This provider vs. median3.3×
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 | |
|---|---|---|---|
| 2018 | 614 | $13K | |
| 2019 | 674 | $15K | |
| 2020 | 479 | $11K | |
| 2021 | 718 | $13K | |
| 2022 | 627 | $12K | |
| 2023 | 261 | $5K | |
| 2024incomplete | 17 | $480.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 40% | 1,202 | 1,165 | $27K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 32% | 978 | 977 | $22K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 405 | 405 | $11K |
| D1999 | 9.7% | 700 | 638 | $7K | |
| D1110 | Prophylaxis - adult | 3.0% | 63 | 62 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 30 | 30 | $364.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 12 | 12 | $264.00 |
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 officialKOBZA, JOHN (OWNER/PRESIDENT)