| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
141,879 |
133,680 |
$7.93M |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
5,124 |
5,020 |
$3.53M |
| D8680 |
|
3,067 |
2,944 |
$2.33M |
| D8660 |
|
23,296 |
22,976 |
$967K |
| D9310 |
|
11,442 |
11,118 |
$36K |
| D8060 |
|
27 |
27 |
$12K |
| D7140 |
Extraction, erupted tooth or exposed root |
98 |
45 |
$6K |
| D0140 |
Limited oral evaluation - problem focused |
166 |
166 |
$5K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
33 |
16 |
$3K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
43 |
43 |
$2K |
| D8703 |
|
13 |
12 |
$450.00 |
| D8704 |
|
13 |
12 |
$445.00 |
| D0330 |
Panoramic radiographic image |
21 |
21 |
$210.00 |