| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
12,938 |
5,786 |
$1.33M |
| D7240 |
Removal of impacted tooth - completely bony |
2,472 |
1,107 |
$656K |
| D7230 |
|
2,754 |
1,650 |
$540K |
| D0330 |
Panoramic radiographic image |
9,312 |
8,972 |
$505K |
| D9243 |
|
551 |
482 |
$264K |
| D9310 |
|
1,895 |
1,885 |
$148K |
| D7220 |
|
773 |
613 |
$126K |
| D0140 |
Limited oral evaluation - problem focused |
8,414 |
8,049 |
$110K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,067 |
663 |
$77K |
| D7140 |
Extraction, erupted tooth or exposed root |
757 |
272 |
$21K |
| D9239 |
|
486 |
482 |
$21K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
372 |
365 |
$13K |
| D9612 |
|
383 |
377 |
$6K |
| D9222 |
|
678 |
663 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
54 |
52 |
$125.95 |