| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9239 |
|
15,114 |
14,785 |
$5.19M |
| D7240 |
Removal of impacted tooth - completely bony |
16,501 |
6,869 |
$5.02M |
| D9243 |
|
14,402 |
13,829 |
$4.13M |
| D9222 |
|
5,543 |
5,426 |
$3.23M |
| D7230 |
|
11,560 |
6,096 |
$3.11M |
| D0330 |
Panoramic radiographic image |
38,727 |
38,034 |
$2.80M |
| D7140 |
Extraction, erupted tooth or exposed root |
75,610 |
19,093 |
$2.47M |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
19,464 |
5,257 |
$1.31M |
| D9310 |
|
8,978 |
8,924 |
$818K |
| D0140 |
Limited oral evaluation - problem focused |
31,128 |
30,270 |
$752K |
| D7310 |
|
3,055 |
1,192 |
$495K |
| D7220 |
|
1,305 |
657 |
$235K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
2,474 |
2,406 |
$224K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
6,819 |
5,024 |
$149K |
| D9420 |
|
36 |
36 |
$93K |
| D7280 |
|
108 |
76 |
$27K |
| D7283 |
|
48 |
37 |
$5K |
| D9986 |
|
247 |
242 |
$80.00 |
| D7960 |
|
60 |
58 |
$0.00 |