| Code | Description | Total Paid |
|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | $156K |
| D0330 | Panoramic radiographic image | $94K |
| D0340 | $78K | |
| 70486 | $5K | |
| D0274 | Bitewings - four radiographic images | $4K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | $4K |
| 70150 | $3K | |
| 70110 | $2K | |
| 76377 | $2K | |
| D0150 | Comprehensive oral evaluation - new or established patient | $1K |
| # | Provider | Location | Claims | Total Paid |
|---|---|---|---|---|
| 1 | REGENTS OF UNIVERSITY OF CALIFORNIA | LOS ANGELES, CA | 8,441 | $331K |
| 2 | TRUE VIEW DENTAL RADIOLOGY, PLLC | BOISE, ID | 1,892 | $13K |
| 3 | MEHR, MAHI | CHICAGO, IL | 193 | $7K |