| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
3,088 |
982 |
$299K |
| D7240 |
Removal of impacted tooth - completely bony |
911 |
372 |
$158K |
| D7230 |
|
586 |
344 |
$88K |
| D0140 |
Limited oral evaluation - problem focused |
2,118 |
2,065 |
$54K |
| D0330 |
Panoramic radiographic image |
1,208 |
1,188 |
$45K |
| D7140 |
Extraction, erupted tooth or exposed root |
847 |
160 |
$33K |
| D9610 |
|
439 |
428 |
$22K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
219 |
178 |
$16K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
538 |
527 |
$15K |
| D9222 |
|
217 |
210 |
$14K |
| D7310 |
|
24 |
12 |
$3K |
| D0365 |
|
73 |
71 |
$0.00 |