| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7140 |
Extraction, erupted tooth or exposed root |
2,876 |
827 |
$183K |
| D7240 |
Removal of impacted tooth - completely bony |
685 |
250 |
$125K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,260 |
1,136 |
$112K |
| D9222 |
|
1,529 |
1,395 |
$109K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
388 |
198 |
$34K |
| D0140 |
Limited oral evaluation - problem focused |
973 |
931 |
$33K |
| D9310 |
|
789 |
669 |
$30K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
460 |
440 |
$15K |
| D7230 |
|
45 |
26 |
$9K |
| D0330 |
Panoramic radiographic image |
142 |
116 |
$5K |
| D9612 |
|
132 |
122 |
$4K |
| D9630 |
|
256 |
234 |
$3K |
| D1999 |
|
97 |
83 |
$51.00 |
| D9610 |
|
34 |
32 |
$0.00 |