| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
3,056 |
938 |
$756K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
3,455 |
1,596 |
$359K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
2,430 |
627 |
$319K |
| D9222 |
|
1,497 |
1,412 |
$169K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,100 |
1,063 |
$45K |
| D0330 |
Panoramic radiographic image |
594 |
577 |
$41K |
| D9610 |
|
965 |
899 |
$36K |
| D7230 |
|
157 |
102 |
$35K |
| D7250 |
|
222 |
46 |
$32K |
| D0140 |
Limited oral evaluation - problem focused |
824 |
794 |
$29K |
| D7140 |
Extraction, erupted tooth or exposed root |
120 |
30 |
$9K |