| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
6,506 |
1,145 |
$359K |
| D9310 |
|
2,167 |
1,786 |
$83K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
3,732 |
1,129 |
$77K |
| D7230 |
|
777 |
333 |
$53K |
| D9222 |
|
1,167 |
968 |
$52K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,210 |
214 |
$48K |
| D7240 |
Removal of impacted tooth - completely bony |
568 |
175 |
$39K |
| D7220 |
|
341 |
159 |
$31K |
| D0330 |
Panoramic radiographic image |
1,144 |
957 |
$30K |
| D7310 |
|
385 |
116 |
$18K |
| D9612 |
|
861 |
500 |
$7K |
| D7311 |
|
179 |
76 |
$4K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
86 |
46 |
$663.84 |