| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
16,943 |
2,458 |
$1.14M |
| D7240 |
Removal of impacted tooth - completely bony |
3,429 |
1,190 |
$440K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
3,371 |
2,011 |
$265K |
| D9310 |
|
4,316 |
3,972 |
$244K |
| D9222 |
|
2,034 |
1,868 |
$96K |
| D9612 |
|
2,021 |
1,836 |
$72K |
| D7310 |
|
647 |
232 |
$54K |
| D7220 |
|
436 |
233 |
$48K |
| D7140 |
Extraction, erupted tooth or exposed root |
861 |
159 |
$41K |
| D0330 |
Panoramic radiographic image |
904 |
810 |
$29K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
1,373 |
1,256 |
$23K |
| D7311 |
|
122 |
44 |
$9K |
| D0140 |
Limited oral evaluation - problem focused |
421 |
234 |
$7K |
| D9610 |
|
324 |
256 |
$5K |
| D7250 |
|
230 |
33 |
$2K |