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

D0120 Periodic Oral Evaluation
$60
D0140 Limited Oral Evaluation
$73
D0210 Intraoral Complete Series
$133
D0220 Intraoral-Periapical X-ray
$29
D0230 Intraoral Periapical Xray add’l
$29
D0272 Bitewing X-rays- 2 films
$45
D1110 Adult Prophylaxis (Over age 12)
$90
D1120 Prophylaxis Child
$70
D1206 Topical Fluoride Varnish
$42
D1208 Topical Application of Fluoride
$33
D1351 Sealant
$75
D2391 1 Surface Posterior Resin Composite
$174
D2392 2 Surface Posterior Resin Composite
$224
D7140 Extraction
$147
D9230 Analgesia (Nitrous Oxide)
$60