| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,378 |
1,104 |
$125K |
| D0330 |
Panoramic radiographic image |
2,280 |
2,278 |
$75K |
| D9243 |
|
1,014 |
1,003 |
$68K |
| D9239 |
|
824 |
821 |
$62K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,037 |
783 |
$59K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,286 |
2,283 |
$54K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
420 |
415 |
$25K |
| D7240 |
Removal of impacted tooth - completely bony |
90 |
70 |
$24K |
| D9222 |
|
290 |
286 |
$20K |
| D7230 |
|
109 |
94 |
$17K |
| D7285 |
|
85 |
83 |
$7K |
| D0140 |
Limited oral evaluation - problem focused |
283 |
274 |
$3K |
| D9310 |
|
12 |
12 |
$717.72 |
| D0171 |
|
13 |
13 |
$0.00 |