| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
13,392 |
4,059 |
$2.52M |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
17,499 |
8,775 |
$911K |
| D9222 |
|
8,762 |
8,546 |
$442K |
| D0330 |
Panoramic radiographic image |
5,850 |
5,736 |
$257K |
| D0140 |
Limited oral evaluation - problem focused |
10,665 |
10,455 |
$216K |
| D7230 |
|
801 |
328 |
$164K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,426 |
601 |
$160K |
| D7140 |
Extraction, erupted tooth or exposed root |
273 |
68 |
$16K |
| D9612 |
|
670 |
652 |
$15K |
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
14 |
13 |
$12K |
| D7220 |
|
37 |
24 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
285 |
276 |
$3K |
| D9610 |
|
458 |
456 |
$735.19 |