| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
4,759 |
4,690 |
$218K |
| D0120 |
Periodic oral evaluation - established patient |
7,089 |
6,975 |
$178K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,786 |
973 |
$121K |
| D1208 |
Topical application of fluoride, excluding varnish |
6,260 |
6,171 |
$120K |
| D0272 |
Bitewings - two radiographic images |
5,900 |
5,821 |
$119K |
| D0210 |
Intraoral - complete series of radiographic images |
1,446 |
1,397 |
$115K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
650 |
394 |
$79K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
2,912 |
2,485 |
$73K |
| D2140 |
|
1,154 |
953 |
$72K |
| D0220 |
Intraoral - periapical first radiographic image |
4,131 |
3,972 |
$69K |
| D1120 |
Prophylaxis - child |
1,768 |
1,741 |
$61K |
| D0140 |
Limited oral evaluation - problem focused |
1,787 |
1,722 |
$56K |
| D0330 |
Panoramic radiographic image |
1,447 |
1,417 |
$38K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
36 |
24 |
$31K |
| D9920 |
|
1,425 |
1,397 |
$28K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,002 |
1,957 |
$27K |
| D8670 |
Periodic orthodontic treatment visit |
195 |
113 |
$21K |
| D0602 |
|
2,467 |
2,425 |
$10K |
| D0601 |
|
2,398 |
2,379 |
$10K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
235 |
234 |
$7K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
93 |
82 |
$7K |
| D0603 |
|
936 |
925 |
$4K |
| D2931 |
|
12 |
12 |
$2K |
| D2331 |
|
16 |
12 |
$2K |