| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
135 |
116 |
$74K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,087 |
228 |
$65K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
392 |
371 |
$56K |
| D9222 |
|
389 |
372 |
$46K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
510 |
247 |
$32K |
| D0140 |
Limited oral evaluation - problem focused |
200 |
196 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
225 |
219 |
$8K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
295 |
291 |
$6K |
| D0330 |
Panoramic radiographic image |
54 |
53 |
$2K |
| 99201 |
|
15 |
15 |
$264.00 |
| 70355 |
|
13 |
13 |
$252.34 |