| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
19,328 |
5,845 |
$2.29M |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
5,779 |
4,615 |
$2.02M |
| D7240 |
Removal of impacted tooth - completely bony |
7,372 |
3,368 |
$1.68M |
| D7230 |
|
6,941 |
3,584 |
$1.30M |
| D9220 |
|
4,909 |
4,901 |
$1.05M |
| D9610 |
|
11,250 |
10,114 |
$842K |
| D9221 |
|
5,186 |
4,325 |
$756K |
| D9222 |
|
4,617 |
4,610 |
$555K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
6,985 |
6,984 |
$458K |
| D0330 |
Panoramic radiographic image |
14,445 |
14,418 |
$407K |
| D9430 |
|
7,779 |
7,762 |
$242K |
| D7140 |
Extraction, erupted tooth or exposed root |
4,204 |
1,348 |
$241K |
| D7220 |
|
1,121 |
823 |
$155K |
| D0230 |
Intraoral - periapical each additional radiographic image |
14,571 |
5,991 |
$59K |
| D0350 |
|
669 |
625 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
15 |
$180.00 |