| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
2,872 |
426 |
$132K |
| D9310 |
|
1,226 |
1,118 |
$63K |
| D7220 |
|
657 |
208 |
$49K |
| D7240 |
Removal of impacted tooth - completely bony |
520 |
123 |
$39K |
| D0330 |
Panoramic radiographic image |
419 |
386 |
$12K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
220 |
201 |
$6K |
| D7140 |
Extraction, erupted tooth or exposed root |
64 |
18 |
$3K |
| D7230 |
|
29 |
15 |
$3K |
| D9222 |
|
32 |
26 |
$1K |
| 70320 |
|
46 |
40 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
54 |
46 |
$1K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
20 |
12 |
$426.40 |