| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
306 |
225 |
$151K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
2,396 |
522 |
$128K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
484 |
450 |
$66K |
| D9222 |
|
471 |
455 |
$55K |
| D0140 |
Limited oral evaluation - problem focused |
265 |
252 |
$12K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
225 |
223 |
$8K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
288 |
287 |
$5K |
| D0330 |
Panoramic radiographic image |
47 |
47 |
$2K |