| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
36 |
33 |
$22K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
92 |
92 |
$12K |
| D7140 |
Extraction, erupted tooth or exposed root |
204 |
59 |
$12K |
| D9222 |
|
92 |
92 |
$12K |
| D0140 |
Limited oral evaluation - problem focused |
171 |
171 |
$9K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
67 |
29 |
$4K |
| D0330 |
Panoramic radiographic image |
15 |
15 |
$546.22 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$512.14 |