| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
1,854 |
1,667 |
$856K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
4,063 |
4,055 |
$268K |
| D0210 |
Intraoral - complete series of radiographic images |
4,052 |
4,045 |
$193K |
| D3348 |
|
355 |
327 |
$164K |
| D9430 |
|
4,293 |
3,929 |
$137K |
| D3320 |
|
324 |
286 |
$118K |
| D0330 |
Panoramic radiographic image |
2,587 |
2,572 |
$75K |
| D0220 |
Intraoral - periapical first radiographic image |
1,231 |
1,153 |
$14K |
| D3310 |
|
36 |
25 |
$11K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,309 |
1,149 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
37 |
37 |
$2K |