| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7140 |
Extraction, erupted tooth or exposed root |
7,751 |
2,908 |
$383K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
4,559 |
4,294 |
$107K |
| D7240 |
Removal of impacted tooth - completely bony |
519 |
268 |
$83K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
566 |
399 |
$27K |
| D7230 |
|
102 |
68 |
$13K |
| D0220 |
Intraoral - periapical first radiographic image |
1,849 |
1,725 |
$8K |
| D7310 |
|
108 |
63 |
$8K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
199 |
183 |
$2K |
| D7280 |
|
16 |
12 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
222 |
220 |
$1K |