D7210
CPT/HCPCSExtraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated
Physician Fee Schedule
Facility
Medicare Payment
$88.80
Submitted Charge$356.83
Medicare Allowed$111.94
Providers88
Beneficiaries160
Total Services629
Office
Medicare Payment
$162.15
Submitted Charge$386.21
Medicare Allowed$217.17
Providers101
Beneficiaries299
Total Services431