| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
33,161 |
10,957 |
$3.79M |
| D9243 |
|
30,403 |
10,237 |
$2.80M |
| D7230 |
|
9,660 |
4,653 |
$1.97M |
| D7240 |
Removal of impacted tooth - completely bony |
6,601 |
2,802 |
$1.52M |
| D9239 |
|
10,224 |
10,136 |
$950K |
| D0140 |
Limited oral evaluation - problem focused |
18,524 |
18,072 |
$632K |
| D7220 |
|
3,116 |
1,920 |
$460K |
| D7140 |
Extraction, erupted tooth or exposed root |
2,469 |
668 |
$197K |
| D0330 |
Panoramic radiographic image |
1,337 |
1,295 |
$62K |
| D7250 |
|
369 |
158 |
$59K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
312 |
306 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
15 |
$60.08 |
| D1999 |
|
106 |
101 |
$0.00 |
| D0364 |
|
122 |
120 |
$0.00 |
| D9985 |
|
241 |
230 |
$0.00 |
| D9215 |
|
46 |
41 |
$0.00 |