| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,099 |
670 |
$1.15M |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
11,799 |
6,336 |
$1.05M |
| D7140 |
Extraction, erupted tooth or exposed root |
6,137 |
2,060 |
$402K |
| D7230 |
|
3,075 |
2,015 |
$328K |
| D9222 |
|
1,011 |
670 |
$205K |
| D0140 |
Limited oral evaluation - problem focused |
7,924 |
6,806 |
$171K |
| D7240 |
Removal of impacted tooth - completely bony |
1,144 |
614 |
$163K |
| D0330 |
Panoramic radiographic image |
5,894 |
4,956 |
$141K |
| D9110 |
|
1,282 |
1,041 |
$68K |
| D7220 |
|
114 |
68 |
$11K |
| D0220 |
Intraoral - periapical first radiographic image |
99 |
91 |
$685.60 |
| D9310 |
|
41 |
28 |
$684.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
55 |
44 |
$438.30 |