| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
3,397 |
1,319 |
$1.37M |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
5,675 |
3,187 |
$1.09M |
| D0330 |
Panoramic radiographic image |
4,318 |
4,296 |
$336K |
| D7230 |
|
790 |
473 |
$244K |
| D0140 |
Limited oral evaluation - problem focused |
4,050 |
4,034 |
$213K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
900 |
891 |
$146K |
| D7140 |
Extraction, erupted tooth or exposed root |
913 |
446 |
$112K |
| D9222 |
|
952 |
947 |
$99K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
1,536 |
1,521 |
$37K |
| D9610 |
|
686 |
666 |
$7K |