| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
22,602 |
6,858 |
$3.50M |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
10,664 |
9,158 |
$1.58M |
| D9222 |
|
9,260 |
9,148 |
$780K |
| D7230 |
|
3,540 |
1,606 |
$485K |
| D9610 |
|
10,108 |
9,973 |
$403K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
9,671 |
9,564 |
$347K |
| D0330 |
Panoramic radiographic image |
3,230 |
3,194 |
$134K |
| D9630 |
|
5,232 |
5,143 |
$75K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
466 |
213 |
$38K |
| D1999 |
|
917 |
866 |
$12K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
143 |
141 |
$3K |
| D7140 |
Extraction, erupted tooth or exposed root |
31 |
18 |
$2K |