| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
11,624 |
3,698 |
$2.23M |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
8,661 |
4,635 |
$616K |
| D0367 |
|
1,499 |
1,458 |
$535K |
| D9222 |
|
3,922 |
3,858 |
$227K |
| D7230 |
|
1,304 |
804 |
$214K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
4,181 |
4,115 |
$144K |
| D9610 |
|
4,699 |
4,618 |
$117K |
| D0330 |
Panoramic radiographic image |
2,036 |
1,992 |
$95K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
592 |
373 |
$66K |
| D7140 |
Extraction, erupted tooth or exposed root |
665 |
243 |
$44K |
| D7283 |
|
96 |
79 |
$27K |
| D7280 |
|
130 |
107 |
$19K |
| D0140 |
Limited oral evaluation - problem focused |
442 |
437 |
$13K |
| D9110 |
|
13 |
13 |
$705.94 |