| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7140 |
Extraction, erupted tooth or exposed root |
19,760 |
3,654 |
$1.11M |
| D7230 |
|
6,676 |
2,750 |
$974K |
| D7240 |
Removal of impacted tooth - completely bony |
5,329 |
1,847 |
$932K |
| D9243 |
|
10,987 |
2,191 |
$473K |
| D0330 |
Panoramic radiographic image |
6,219 |
5,927 |
$267K |
| D7220 |
|
2,041 |
1,146 |
$198K |
| D9239 |
|
2,415 |
2,261 |
$165K |
| D7310 |
|
1,612 |
549 |
$152K |
| D9610 |
|
1,183 |
1,077 |
$97K |
| D9612 |
|
1,050 |
1,016 |
$49K |
| D0140 |
Limited oral evaluation - problem focused |
2,037 |
1,941 |
$43K |
| D7280 |
|
237 |
118 |
$30K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
1,179 |
1,140 |
$23K |
| D7241 |
|
85 |
54 |
$16K |
| D7283 |
|
145 |
80 |
$10K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
107 |
42 |
$9K |
| D0220 |
Intraoral - periapical first radiographic image |
1,013 |
949 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
444 |
267 |
$1K |
| D1999 |
|
33 |
32 |
$0.00 |