| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
7,131 |
2,224 |
$1.10M |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
2,873 |
1,627 |
$423K |
| D0330 |
Panoramic radiographic image |
4,957 |
4,828 |
$280K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
4,402 |
4,281 |
$262K |
| D9222 |
|
1,156 |
1,131 |
$184K |
| D9310 |
|
592 |
589 |
$35K |
| D7140 |
Extraction, erupted tooth or exposed root |
404 |
131 |
$30K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
522 |
520 |
$19K |
| D1999 |
|
853 |
814 |
$7K |
| D9220 |
|
23 |
22 |
$7K |
| D9221 |
|
23 |
14 |
$4K |