| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
92,173 |
19,176 |
$9.40M |
| D7240 |
Removal of impacted tooth - completely bony |
46,260 |
14,062 |
$8.56M |
| D9222 |
|
30,373 |
27,827 |
$2.01M |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
26,994 |
19,816 |
$1.82M |
| D7230 |
|
9,632 |
4,915 |
$1.54M |
| D7241 |
|
6,886 |
3,140 |
$1.52M |
| D0150 |
Comprehensive oral evaluation - new or established patient |
32,919 |
30,883 |
$1.33M |
| D7250 |
|
9,872 |
2,263 |
$1.08M |
| D7310 |
|
10,277 |
3,386 |
$952K |
| D9610 |
|
28,292 |
26,126 |
$948K |
| D7280 |
|
5,182 |
1,760 |
$945K |
| D0330 |
Panoramic radiographic image |
36,527 |
33,338 |
$528K |
| D7311 |
|
4,154 |
2,135 |
$360K |
| D7140 |
Extraction, erupted tooth or exposed root |
3,323 |
1,216 |
$205K |
| D0140 |
Limited oral evaluation - problem focused |
4,434 |
4,103 |
$154K |
| D7283 |
|
691 |
450 |
$140K |
| D7550 |
|
393 |
307 |
$98K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
1,825 |
1,673 |
$75K |
| D7473 |
|
266 |
185 |
$50K |
| D9612 |
|
772 |
713 |
$42K |
| D7485 |
|
320 |
172 |
$41K |
| D7971 |
|
174 |
84 |
$27K |
| D9110 |
|
684 |
548 |
$24K |
| D7471 |
|
59 |
25 |
$5K |
| D0160 |
|
76 |
74 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
211 |
191 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
107 |
36 |
$1K |
| D0367 |
|
131 |
120 |
$0.00 |