| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
8,047 |
2,816 |
$2.25M |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
3,055 |
2,993 |
$435K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
3,529 |
1,648 |
$373K |
| D9310 |
|
5,580 |
5,459 |
$260K |
| D9222 |
|
3,084 |
3,012 |
$219K |
| D7230 |
|
531 |
384 |
$117K |
| D7140 |
Extraction, erupted tooth or exposed root |
697 |
269 |
$77K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,295 |
1,285 |
$72K |
| D7250 |
|
511 |
209 |
$52K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
1,549 |
1,530 |
$29K |
| D7280 |
|
53 |
37 |
$19K |
| D0330 |
Panoramic radiographic image |
378 |
374 |
$16K |
| D7220 |
|
80 |
61 |
$13K |
| D9243 |
|
28 |
28 |
$3K |
| D7283 |
|
20 |
12 |
$2K |
| D9239 |
|
28 |
28 |
$2K |