| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D7140 |
Extraction, erupted tooth or exposed root |
98 |
26 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
115 |
112 |
$1K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
49 |
12 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
31 |
29 |
$368.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
29 |
22 |
$162.00 |
| D0220 |
Intraoral - periapical first radiographic image |
42 |
40 |
$157.50 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$0.00 |