| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
7,531 |
4,296 |
$2.24M |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
8,411 |
4,506 |
$1.67M |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
7,941 |
6,515 |
$1.25M |
| D9222 |
|
7,927 |
6,762 |
$1.19M |
| D7140 |
Extraction, erupted tooth or exposed root |
8,381 |
4,562 |
$1.00M |
| D7230 |
|
3,637 |
2,424 |
$893K |
| D0140 |
Limited oral evaluation - problem focused |
13,297 |
12,361 |
$433K |
| D9610 |
|
7,745 |
6,644 |
$318K |
| D0330 |
Panoramic radiographic image |
4,329 |
4,156 |
$229K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,954 |
1,953 |
$113K |
| D7220 |
|
510 |
361 |
$90K |
| D7280 |
|
271 |
213 |
$37K |
| D7250 |
|
44 |
28 |
$9K |
| D7283 |
|
189 |
151 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
62 |
58 |
$7K |
| 70355 |
|
381 |
368 |
$7K |
| D7510 |
|
13 |
12 |
$930.88 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$600.15 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
14 |
13 |
$338.00 |
| D0367 |
|
269 |
201 |
$0.00 |