| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
4,864 |
3,944 |
$2.78M |
| D3320 |
|
1,082 |
864 |
$529K |
| D3310 |
|
1,349 |
718 |
$528K |
| D0140 |
Limited oral evaluation - problem focused |
8,535 |
7,472 |
$310K |
| D0220 |
Intraoral - periapical first radiographic image |
10,091 |
8,010 |
$109K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
2,780 |
2,384 |
$49K |
| D0210 |
Intraoral - complete series of radiographic images |
462 |
424 |
$27K |
| D3348 |
|
30 |
25 |
$24K |
| D9248 |
|
1,014 |
860 |
$19K |
| D0230 |
Intraoral - periapical each additional radiographic image |
7,538 |
6,163 |
$16K |
| D0240 |
|
255 |
247 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
66 |
64 |
$3K |
| D0330 |
Panoramic radiographic image |
162 |
138 |
$2K |
| D0367 |
|
1,779 |
1,610 |
$0.00 |