| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
2,355 |
374 |
$121K |
| D9310 |
|
1,732 |
1,611 |
$94K |
| D7240 |
Removal of impacted tooth - completely bony |
669 |
158 |
$47K |
| D7220 |
|
476 |
142 |
$37K |
| D0330 |
Panoramic radiographic image |
349 |
316 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
164 |
147 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
130 |
120 |
$3K |
| D9222 |
|
53 |
38 |
$2K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
67 |
29 |
$906.10 |