| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
4,452 |
4,266 |
$1.81M |
| D2950 |
|
3,808 |
3,512 |
$415K |
| D0364 |
|
2,856 |
2,762 |
$400K |
| D3320 |
|
1,234 |
1,124 |
$392K |
| D0140 |
Limited oral evaluation - problem focused |
9,350 |
9,205 |
$228K |
| D3310 |
|
496 |
395 |
$146K |
| D0220 |
Intraoral - periapical first radiographic image |
9,508 |
9,316 |
$93K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
1,416 |
1,336 |
$71K |
| D0460 |
|
9,174 |
9,034 |
$34K |
| D0230 |
Intraoral - periapical each additional radiographic image |
9,291 |
9,131 |
$22K |
| D2330 |
|
136 |
107 |
$7K |
| D2140 |
|
147 |
138 |
$6K |
| D0270 |
|
1,228 |
1,204 |
$4K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
66 |
62 |
$4K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
18 |
17 |
$1K |
| D3999 |
|
81 |
81 |
$600.00 |
| D1999 |
|
94 |
94 |
$0.00 |