| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0330 |
Panoramic radiographic image |
1,015 |
866 |
$33K |
| D1110 |
Prophylaxis - adult |
971 |
857 |
$20K |
| D0274 |
Bitewings - four radiographic images |
941 |
817 |
$19K |
| D0210 |
Intraoral - complete series of radiographic images |
441 |
373 |
$19K |
| D0120 |
Periodic oral evaluation - established patient |
1,052 |
906 |
$18K |
| D0220 |
Intraoral - periapical first radiographic image |
1,235 |
1,056 |
$15K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
392 |
335 |
$11K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
132 |
52 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,026 |
864 |
$5K |
| D0140 |
Limited oral evaluation - problem focused |
169 |
136 |
$5K |
| D1206 |
Topical application of fluoride varnish |
43 |
39 |
$1K |
| D1330 |
|
104 |
84 |
$0.00 |