| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
9,444 |
2,797 |
$1.83M |
| D9310 |
|
7,563 |
6,504 |
$471K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
5,465 |
1,409 |
$418K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
6,238 |
1,958 |
$316K |
| D0330 |
Panoramic radiographic image |
3,326 |
2,811 |
$133K |
| D9222 |
|
2,054 |
1,923 |
$103K |
| D9999 |
Unspecified adjunctive procedure, by report |
478 |
423 |
$50K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
943 |
709 |
$22K |
| D9610 |
|
1,086 |
1,032 |
$19K |
| D7220 |
|
55 |
24 |
$6K |
| D9612 |
|
208 |
201 |
$5K |
| D7230 |
|
19 |
12 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
33 |
29 |
$927.46 |
| D1999 |
|
118 |
113 |
$0.00 |