| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
31,754 |
6,613 |
$2.87M |
| D7240 |
Removal of impacted tooth - completely bony |
7,474 |
2,714 |
$1.53M |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
11,581 |
8,176 |
$941K |
| D7310 |
|
5,443 |
1,896 |
$749K |
| D7230 |
|
4,538 |
1,999 |
$727K |
| D9222 |
|
9,029 |
8,004 |
$722K |
| D7140 |
Extraction, erupted tooth or exposed root |
9,858 |
2,137 |
$479K |
| D0330 |
Panoramic radiographic image |
9,519 |
8,600 |
$401K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
9,054 |
8,246 |
$357K |
| D7220 |
|
905 |
458 |
$108K |
| D0140 |
Limited oral evaluation - problem focused |
1,574 |
1,406 |
$35K |
| D7260 |
|
24 |
12 |
$2K |
| D1320 |
|
287 |
268 |
$2K |
| 40840 |
|
20 |
12 |
$916.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
14 |
$530.00 |
| 70355 |
|
15 |
14 |
$168.00 |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
14 |
12 |
$0.00 |
| D9215 |
|
147 |
134 |
$0.00 |