Top 15 Codes Billed for Big Grins Pediatric Dental Office As of 12/5/2018

D0120 Periodic Oral Evaluation
$58
D0140 Limited Oral Evaluation
$62
D0210 Intraoral Complete Series
$112
D0220 Intraoral-Periapical X-ray
$25
D0230 Intraoral Periapical Xray add’l
$24
D0272 Bitewing X-rays- 2 films
$42
D1110 Adult Prophylaxis (Over age 12)
$75
D1120 Prophylaxis Child
$65
D1206 Topical Fluoride Varnish
$35
D1208 Topical Application of Fluoride
$30
D1351 Sealant
$75
D2391 1 Surface Posterior Resin Composite
$150
D2392 2 Surface Posterior Resin Composite
$195
D7140 Extraction
$115
D9230 Analgesia (Nitrous Oxide)
$60