| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
3,928 |
3,286 |
$1.93M |
| D3310 |
|
1,702 |
1,074 |
$536K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
2,681 |
2,290 |
$212K |
| D0140 |
Limited oral evaluation - problem focused |
7,419 |
6,773 |
$147K |
| D2394 |
|
1,820 |
1,368 |
$109K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
4,917 |
4,301 |
$103K |
| D9248 |
|
1,659 |
1,488 |
$91K |
| D2332 |
|
526 |
316 |
$55K |
| D0220 |
Intraoral - periapical first radiographic image |
6,975 |
6,408 |
$52K |
| D3320 |
|
113 |
98 |
$46K |
| D2335 |
|
520 |
313 |
$32K |
| D0270 |
|
2,232 |
2,185 |
$17K |
| D0460 |
|
3,551 |
3,452 |
$16K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
348 |
268 |
$14K |
| D1999 |
|
1,246 |
893 |
$13K |
| D9110 |
|
224 |
178 |
$10K |
| D2330 |
|
230 |
156 |
$9K |
| D0330 |
Panoramic radiographic image |
834 |
687 |
$8K |
| D0230 |
Intraoral - periapical each additional radiographic image |
3,439 |
2,295 |
$8K |
| D0272 |
Bitewings - two radiographic images |
837 |
787 |
$7K |
| D0364 |
|
1,568 |
1,522 |
$0.00 |
| D3910 |
|
25 |
24 |
$0.00 |