| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
10,704 |
3,593 |
$2.42M |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
10,756 |
3,120 |
$1.19M |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
11,118 |
8,105 |
$920K |
| D7140 |
Extraction, erupted tooth or exposed root |
13,912 |
3,437 |
$842K |
| D9222 |
|
9,453 |
9,052 |
$781K |
| D0140 |
Limited oral evaluation - problem focused |
16,526 |
16,198 |
$388K |
| D7230 |
|
1,546 |
739 |
$305K |
| D0330 |
Panoramic radiographic image |
4,863 |
4,709 |
$102K |
| D7310 |
|
790 |
242 |
$81K |
| D7250 |
|
670 |
126 |
$72K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
303 |
294 |
$9K |
| D7280 |
|
38 |
27 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
212 |
202 |
$6K |
| D9612 |
|
152 |
147 |
$5K |
| D9610 |
|
224 |
220 |
$2K |
| D7283 |
|
20 |
14 |
$706.04 |
| D0120 |
Periodic oral evaluation - established patient |
29 |
28 |
$679.18 |
| D9219 |
|
60 |
59 |
$0.00 |