Description

CPT

Charge

Program / Organization

Unspec fixed prosth proced, B/R

D6999

50

Dental

50 Consult

OrthCNSLT

50

Dental

Abtmt supp cast mtl crown-base

D6063

1658

Dental

Abtmt supp cast mtl crown-hinob

D6062

1928

Dental

Abtmt supp cast mtl crown-noble

D6064

1643

Dental

Abtmt supp porc fused to hi-nob

D6059

1997

Dental

Abtmt supp porc fused-base metl

D6060

1673

Dental

Abtmt supp porc fused-mtl crown

D6061

1928

Dental

Abtmt supp ret for porc/cer FPD

D6068

1771

Dental

Abut sup ret-cast mtl FPD-base

D6073

1719

Dental

Abut sup ret-cast mtl FPD-hinob

D6072

1790

Dental

Abut sup ret-cast mtl FPD-noble

D6074

1687

Dental

Abut sup ret-cast mtl FPD-titan

D6194

1699

Dental

Abut sup ret-porc fsd mtl FPDbm

D6070

1719

Dental

Abut sup ret-porc fsd mtl FPDhn

D6069

1796

Dental

Abut sup ret-porc fsd mtl FPDno

D6071

1680

Dental

Abutment supp crown - titanium

D6094

1715

Dental

Abutment supported porc/cer crn

D6058

2000

Dental

Acc of tiss-gr mic ex surg mar

D0474

252

Dental

Acc of tissue, gr mic exam/rpt

D0473

241

Dental

Accession of tiss, gr exam/rpt

D0472

164

Dental

Add clasp, exist part denture

D5660

378

Dental

Add tooth to exist part denture

D5650

305

Dental

Add'l prc-new crn undr exs dent

D2971

241

Dental

Adjunc pre-diag test-detect muc

D0431

85

Dental

Adjust complete denture-mand

D5411

121

Dental

Adjust complete denture-maxil

D5410

121

Dental

Adjust partial denture-mand

D5422

121

Dental

Adjust partial denture-maxil

D5421

121

Dental

Alveoloplasty w/ extract- /quad

D7310

427

Dental

Alveoloplasty w/ext 1-3 th/quad

D7311

451

Dental

Alveoloplasty w/o extract /quad

D7320

667

Dental

Alveoloplsty w/o ex 1-3 th/quad

D7321

635

Dental

Alveolus-closed reduction

D7670

2698

Dental

Alveolus-open reduction

D7671

1858

Dental

Alveolus-stabilize teeth, open

D7770

3929

Dental

Alveolus-stabilize teeth,closed

D7771

2536

Dental

Amalgam-1 surf. prim/perm

D2140

186

Dental

Amalgam-2 surf. prim/perm

D2150

240

Dental

Amalgam-3 surf. prim/perm

D2160

293

Dental

Amalgam-4+ surf. prim/perm

D2161

331

Dental

Analgesia

D9230

118

Dental

Analysis of saliva sample

D0418

187

Dental

Anatomical crwn exp,1-3 th/quad

D4231

820

Dental

Anatomical crwn exp,4+teeth/qu

D4230

901

Dental

Apexification/recalcif, final

D3353

768

Dental

Apexification/recalcif, initial

D3351

500

Dental

Apexification/recalcif, interim

D3352

373

Dental

Apically positioned flap

D4245

1182

Dental

Apicoect/Perirad (each + root)

D3426

571

Dental

Apicoect/Perirad-bicus/1st root

D3421

1040

Dental

Apicoect/Perirad-molar/1st root

D3425

1218

Dental

Apicoectomy/Periradic surg-ant

D3410

952

Dental

Appliance removal-incl archbar

D7997

503

Dental

Application of desensitize med

D9910

92

Dental

Description

CPT

Charge

Program / Organization

Apply desensitiz' resin, per th

D9911

121

Dental

Arthrocentesis

D7870

749

Dental

Assessment of a patient

D0191

42

Dental

Auricular prosthesis

D5914

2147

Dental

Auricular prosthesis,replacemen

D5927

206

Dental

Autgen con tiss graft, Each Add

D4283

300

Dental

Behavior management, by report

D9920

238

Dental

Bio mat, sft&osseous tiss regen

D4265

714

Dental

Biologic materials to aid in soft& osseou

D3431

487

Dental

Biopsy of oral tissue-hard

D7285

575

Dental

Biopsy of oral tissue-soft

D7286

445

Dental

Bitewings-four films

D0274

85

Dental

Bitewing-single film

D0270

38

Dental

Bitewings-three films

D0273

73

Dental

Bitewings-two films

D0272

60

Dental

Bleach Refil

Bleachref

20

Dental

Bone Graft at time of Implt plcmnt

D6104

1080

Dental

Bone graft in conjuctn with periradicular

D3428

639

Dental

Bone graft in conjunctn w/periradicular

D3429

426

Dental

Bone Harvest for Grafting

D7295

647

Dental

Bone repl grft ridge prsv/site

D7953

1656

Dental

Bone replace graft-1st site/qu

D4263

1064

Dental

Bone replace graft-each add/qu

D4264

790

Dental

Brush biopsy-transepith sample

D7288

300

Dental

Canal prep/fit of dowel/post

D3950

376

Dental

Caries arrest SDF

D1354

5

Dental

Case present,detailed/extens tx

D9450

197

Dental

Cast post &core in add to crown

D2952

599

Dental

Cephalometric film

D0340

175

Dental

Chlorhexidine/Peridex

Chlorhex

15

Dental

Chlorhexidine/Peridex small

Chlorhexs

5

Dental

Clean/insp of mand comp denture

D9933

25

Dental

Clean/insp of mand part denture

D9935

25

Dental

Clean/insp of maxl comp denture

D9932

25

Dental

Clean/insp of maxl part denture

D9934

25

Dental

Clinic crown lengthen-hard tiss

D4249

1036

Dental

Closed reduction of dislocate

D7820

916

Dental

Closure of salivary fistula

D7983

2143

Dental

Collection and applic of autologous bloo

D7921

389

Dental

Collection of microorg culture

D0415

262

Dental

Collection of saliva sample

D0417

229

Dental

Comb cnct tiss&dbl pedicle grft

D4276

1562

Dental

Commissure splint

D5987

420

Dental

Comp oral eval-new/estab pat

D0150

121

Dental

Complete denture - mandibular

D5120

2286

Dental

Complete denture - maxillary

D5110

2286

Dental

Complicated suture-over 5 cm

D7912

1141

Dental

Complicated suture-up to 5 cm

D7911

703

Dental

Comprehensive orth,transitional

D8070

6000

Dental

Comprehensive ortho, adolescent

D8080

6000

Dental

Comprehensive ortho, adult dent

D8090

6000

Dental

Comprehensive perio evaluation

D0180

136

Dental

Condylectomy

D7840

7000

Dental

Cone beam CT capture for TMJ, 2 or more exp

D0384

445

Dental

Cone beam CT field of view both jaws

D0383

407

Dental

Description

CPT

Charge

Program / Organization

Cone beam CT field of view Mandible

D0381

400

Dental

Cone beam CT field view full arch maxilla

D0382

382

Dental

Cone beam CT less than one whole jaw

D0364

389

Dental

Cone beam CT lmtd field view, < whole jaw

D0380

368

Dental

Cone beam CT one full arch maxilla

D0366

402

Dental

Cone beam CT one full dental arch mandible

D0365

420

Dental

Cone beam CT with field of view both jaws

D0367

382

Dental

Cone bean CT TMJ series incldg tow or more

D0368

465

Dental

Connector bar

D6920

1429

Dental

Consult inc prep/slides biop mt

D0485

237

Dental

Consult on slides prp elsewhere

D0484

207

Dental

Coping

D2975

828

Dental

Coronectomy-part tooth removal

D7251

763

Dental

Coronoidectomy

D7991

5424

Dental

Cranial prosthesis

D5924

1420

Dental

Crown buildup, includ any pins

D2950

372

Dental

Crown repair, by report

D2980

414

Dental

Crown-3/4 cast high noble metal

D2780

1422

Dental

Crown-3/4 cast most base metal

D2781

1381

Dental

Crown-3/4 cast most base metal

D6781

1396

Dental

Crown-3/4 cast noble metal

D6782

1393

Dental

Crown-3/4 cast noble metal

D2782

1402

Dental

Crown-3/4 porcelain/ceramic

D6783

1500

Dental

Crown-3/4 porcelain/ceramic

D2783

1501

Dental

Crown-3/4 resin-based comp-ind

D2712

1244

Dental

Crown-full cast base metal

D2791

1352

Dental

Crown-full cast high noble mtl

D2790

1457

Dental

Crown-full cast noble metal

D2792

1387

Dental

Crown-porc fuse high noble mtl

D2750

1493

Dental

Crown-porc fused noble metal

D2752

1408

Dental

Crown-porc fused to base metal

D2751

1366

Dental

Crown-porcelain/ceramic substr

D2740

1536

Dental

Crown-resin composite(indirect)

D2710

1214

Dental

Crown-resin w/ most base metal

D2721

1343

Dental

Crown-resin w/high noble metal

D2720

1459

Dental

Crown-resin with noble metal

D2722

1358

Dental

Crown-titanium

D2794

1372

Dental

Custom abutment-incl placement

D6057

1402

Dental

Debridement and osseous contring of a peri-

D6102

961

Dental

Debridement of a peri-implant dfct or defec

D6101

678

Dental

Decalcification Procedure

D0475

246

Dental

Dent implant sup connecting bar

D6055

3980

Dental

Destruct lesion-phys/chem B/R

D7465

757

Dental

Detail/extensive oral eval, B/R

D0160

228

Dental

Diagnose enamel,dentin,cementum

D0600

50

Dental

Direct immunofluorescence

D0482

128

Dental

Each + prefab post-same tooth

D2957

286

Dental

Each add'l cast post-same tooth

D2953

436

Dental

Electron microscopy-diagnostic

D0481

243

Dental

Emerg treatment, palliative

D9110

179

Dental

Emergency tracheotomy

D7990

1883

Dental

Enamel microabrasion

D9970

293

Dental

Endodontic endosseous implant

D3460

2086

Dental

Eval for deep sedation or general anest

D9219

110

Dental

Ex malig tumor-diam <= 1.25 cm

D7440

893

Dental

Description

CPT

Charge

Program / Organization

Ex malig tumor-diam > 1.25 cm

D7441

1752

Dental

Examination of Cytologic Sample

D0486

216

Dental

Excision benign lesion,complic

D7412

1214

Dental

Excision benign lesion<=1.25cm

D7410

632

Dental

Excision benign lesion>1.25 cm

D7411

954

Dental

Excision malig lesion,complic

D7415

1640

Dental

Excision malig lesion<=1.25cm

D7413

952

Dental

Excision malig lesion>1.25cm

D7414

1591

Dental

Excision, hyperplast tiss-arch

D7970

740

Dental

Excision-pericoronal ging /arch

D7971

395

Dental

Exfoliative cyt sample collectn

D7287

257

Dental

Exposure of an unerupted tooth

D7280

700

Dental

External bleaching home appl per arch

D9975

120

Dental

External bleaching-per arch

D9972

500

Dental

Extract,erupted th/exposed rt

D7140

228

Dental

Extraction crnl remnts-decid th

D7111

192

Dental

Extraction-impacted/compl bony

D7240

677

Dental

Extraction-impacted/part bony

D7230

550

Dental

Extraction-impacted/soft tis

D7220

430

Dental

Extraction-surgical/erput tooth

D7210

380

Dental

Extraoral posterior Xray image

D0251

78

Dental

Extraoral-first film

D0250

100

Dental

Fabricate athletic mouthguards

D9941

120

Dental

Facial bone-complicated reduct

D7680

9142

Dental

Facial bones-complicated reduc

D7780

12301

Dental

Facial moulage (complete)

D5912

251

Dental

Facial moulage (sectional)

D5911

251

Dental

Facial prosthesis

D5919

2225

Dental

Feeding aid

D5951

820

Dental

Fixed appliance therapy

D8220

400

Dental

Fixed partial dent. repair, B/R

D6980

571

Dental

Fixed partl denture sectioning

D9120

406

Dental

Fluoride gel carrier

D5986

30

Dental

Fluoride varnish

D1206

30

Dental

Free Soft Tissue Gft, 1st Th

D4277

1220

Dental

Free Soft Tissue Gft, each Addtl

D4278

240

Dental

Frenulectomy-separate procedur

D7960

643

Dental

Frenuloplasty

D7963

704

Dental

Full mouth debridment,eval/diag

D4355

258

Dental

Genetic test-suspect disease

D0423

100

Dental

Ging flap rt pln 1-3 cntg th/qu

D4241

893

Dental

Ging flap,root pln, 4+ per quad

D4240

1062

Dental

Gingival irrigation - per quadrant

D4921

58

Dental

Gingivectomy to allow access for restorative

D4212

348

Dental

Gingivectomy-1-3 contig th/quad

D4211

413

Dental

Gingivectomy-4+ per quadrant

D4210

900

Dental

Gold foil-one surface

D2410

845

Dental

Gold foil-three surfaces

D2430

1050

Dental

Gold foil-two surfaces

D2420

924

Dental

Guided tiss regen-nonresorb-per

D4267

1483

Dental

Guided tiss regen-resorb-per

D4266

1214

Dental

Guided tissue regnratn, resorbable barri

D3432

554

Dental

Hemisection, no root can ther

D3920

678

Dental

Hospital Call

D9420

428

Dental

House/extended care facility

D9410

344

Dental

Description

CPT

Charge

Program / Organization

IH Add clasp, exist part denture

D5660.I

189

Dental

IH Add tooth to exist part denture

D5650.I

152

Dental

IH CAD/CAMCrown-porcelain/ceramic

D2740.I

896

Dental

IH Crown-3/4 porcelain/ceramic

D2783.I

901

Dental

IH Inlay-metallic-three + surfaces

D2630.I

810

Dental

IH Inlay-porcel/ceramic-1 surface

D2610.I

724

Dental

IH Inlay-porcel/ceramic-2 surface

D2620.I

771

Dental

IH Interim partial denture (mand)

D5821.I

496

Dental

IH Interim partial denture (maxil)

D5820.I

496

Dental

IH Occlusal guards, by report

D9940.I

175

Dental

IH Onlay-porcel/ceram-2 surface

D2642.I

821

Dental

IH Onlay-porcel/ceram-3 surface

D2643.I

849

Dental

IH Onlay-porcel/ceram-4 + surface

D2644.I

878

Dental

IH Reline complete mand

D5751.I

326

Dental

IH Reline complete maxillary

D5750.I

326

Dental

IH Reline mandibular partial

D5761.I

321

Dental

IH Reline maxillary partial

D5760.I

321

Dental

IH Repair broken complete dent base, mand

D5511.I

146

Dental

IH Repair broken complete denture base, max

D5512.I

146

Dental

IH Repair complete denture base

D5510.I

146

Dental

IH Repair or replace broken clasp

D5630.I

181

Dental

IH Repair resin partial denture base, mand

D5611.I

143

Dental

IH Repair resin partial denture base, maxi

D5612.I

143

Dental

IH Replace broken teeth-per tooth

D5640.I

125

Dental

IH Replace teeth-comp dent (ea th)

D5520.I

128

Dental

IH Retainer replacemnt-lost/broken

D8692.I

100

Dental

IH Semi presicsion attachment adutment

D6052.I

568

Dental

Imd Mand part-cast metl w/resin

D5224

2000

Dental

Imd Max part-cast metl w/resin

D5223

2000

Dental

Immed mand partl dent w/resin

D5222

1600

Dental

Immed maxil partl dent w/resin

D5221

1600

Dental

Immediate denture - mandibular

D5140

2444

Dental

Immediate denture - maxillary

D5130

2444

Dental

Implant maintenance procedures

D6080

449

Dental

Implant removal, by report

D6100

1052

Dental

Implant supp porc fused mtl crn

D6066

2526

Dental

Implant supp porc/cer crown

D6065

1838

Dental

Implant supp ret-cast metal FPD

D6077

2152

Dental

Implant supp ret-ceramic FPD

D6075

2143

Dental

Implant supported metal crown

D6067

2532

Dental

Implant/abutment supportd fixed dent for

D6116

5551

Dental

Implant/abutmnt suportd remov denture f

D6112

3055

Dental

Implant/abutmnt supportd fixed dent for

D6117

5551

Dental

Implant/abutmnt supportd fixed dent for

D6115

7261

Dental

Implant/abutmnt supportd remov denture

D6111

3286

Dental

Implant/abutmnt supportd remov denture

D6113

3298

Dental

Implant/abutmnt supportd remov denture

D6110

3408

Dental

Implant/abutmnt supported fixed dent for

D6114

7261

Dental

Implant-mandib/augmentation,B/R

D7996

426

Dental

Implnt supp ret-prc fuse mtlFPD

D6076

2143

Dental

ImpltCNSLT

ImptCNSLT

200

Dental

Incis&drain abscess-extra soft

D7520

684

Dental

Incis&drain abscess-intra soft

D7510

325

Dental

Incis&drain abscs-ext soft comp

D7521

789

Dental

Incis&drain abscs-int soft comp

D7511

509

Dental

Description

CPT

Charge

Program / Organization

Incomplt endo ther-inopbl/unres

D3332

608

Dental

Indirect immunofluorescence

D0483

152

Dental

Inlay Repair necessitated by rest mat

D2981

331

Dental

Inlay-cast high nob met, 3+surf

D6603

1263

Dental

Inlay-cast high noble met,2surf

D6602

1229

Dental

Inlay-cast noble metal, 2 surf

D6606

1200

Dental

Inlay-cast noble metal, 3+ surf

D6607

1235

Dental

Inlay-cast predomnt base, 2surf

D6604

1232

Dental

Inlay-cast predomnt base,3+surf

D6605

1278

Dental

Inlay-metallic-one surface

D2510

1154

Dental

Inlay-metallic-three + surfaces

D2530

1254

Dental

Inlay-metallic-two surfaces

D2520

1164

Dental

Inlay-porcel/ceramic-1 surface

D2610

1207

Dental

Inlay-porcel/ceramic-2 surface

D2620

1285

Dental

Inlay-porcel/ceramic-3+ surface

D2630

1350

Dental

Inlay-porcelain/ceramic, 2 surf

D6600

1192

Dental

Inlay-porcelain/ceramic, 3+surf

D6601

1283

Dental

Inlay-resin based composite-1s

D2650

1214

Dental

Inlay-resin based composite-2s

D2651

1232

Dental

Inlay-resin based composite-3+s

D2652

1278

Dental

Inlay-titanium

D6624

1314

Dental

Int root repair of perf defects

D3333

458

Dental

Intentional replant, inc splint

D3470

1100

Dental

Intercep orth trt, primary dent

D8050

2000

Dental

Intercep orth trt, transitional

D8060

2000

Dental

Interim Abutment

D6051

609

Dental

Interim comp denture (mand)

D5811

1250

Dental

Interim comp denture (maxil)

D5810

1250

Dental

Interim partial denture (mand)

D5821

992

Dental

Interim partial denture (maxil)

D5820

992

Dental

Interim therapueutic restoration - prim de

D2941

183

Dental

Internal bleaching-per tooth

D9974

425

Dental

Intraoral-complete series (bw)

D0210

172

Dental

Intraoral-occlusal film

D0240

59

Dental

Intraoral-periapical-1st film

D0220

38

Dental

Intraoral-periapical-each add'l

D0230

32

Dental

Lab, microbial specimen, report

D0414

50

Dental

Labial veneer (porceln lam)-lab

D2962

1439

Dental

Labial veneer (resin lamin)-lab

D2961

1285

Dental

Labial veneer(laminate)-chairsd

D2960

912

Dental

LeFort I (maxilla-segmented)

D7947

10978

Dental

LeFort I (maxilla-total)

D7946

10826

Dental

LeFort II/III-no bone graft

D7948

12401

Dental

LeFort II/III-with bone graft

D7949

15899

Dental

Limited oral evaluation

D0140

104

Dental

Limited ortho treat, adolescent

D8030

1500

Dental

Limited ortho treat, adult dent

D8040

1500

Dental

Limited ortho trt, primary dent

D8010

1500

Dental

Limited ortho trt, transitional

D8020

1500

Dental

Local anesthesia

D9215

90

Dental

Local anesthesia not op/surg

D9210

107

Dental

Local deliv antimicrb ag-th B/R

D4381

97

Dental

Malar/zygo arch-closed reduc

D7660

4500

Dental

Malar/zygomat arch-open reduc

D7650

5246

Dental

Malar/zygomatic arch-close red

D7760

8401

Dental

Description

CPT

Charge

Program / Organization

Malar/zygomatic arch-open red

D7750

5878

Dental

Mand partial-flex base incl cl

D5226

2215

Dental

Mand partial-metal base w/sdls

D5214

2429

Dental

Mandible-closed red (th immob)

D7640

4597

Dental

Mandible-closed reduction

D7740

5292

Dental

Mandible-open red (teeth immob)

D7630

6283

Dental

Mandible-open reduction

D7730

6757

Dental

Mandibular partial - resin base

D5212

1858

Dental

Mandibular resection w/ flange

D5934

2066

Dental

Mandibular resection w/o flange

D5935

1764

Dental

Manipulation under anesthesia

D7830

1483

Dental

Maxil partial-flex base incl cl

D5225

2215

Dental

Maxil partial-metal Base W/sdls

D5213

2429

Dental

Maxill sinusotomy-rem foreign

D7560

2113

Dental

Maxilla-closed red(teeth immob)

D7620

4715

Dental

Maxilla-closed reduction

D7720

4986

Dental

Maxilla-open red (teeth immob)

D7610

6137

Dental

Maxilla-open reduction

D7710

6396

Dental

Maxillary partial - resin base

D5211

1858

Dental

Mesial/distal wedge procedure

D4274

954

Dental

MI Paste

MIPaste

20

Dental

Mobiliz erupt/malpos th-erupt

D7282

712

Dental

Mod of remvble prosth-post surg

D5875

535

Dental

Myotomy

D7856

4658

Dental

Nasal prosthesis

D5913

2140

Dental

Nasal prosthesis, replacement

D5926

199

Dental

Nasal septal prosthesis

D5922

976

Dental

Non IV conscious sedation

D9248

500

Dental

Non-arthroscopic lysis & lavage

D7871

801

Dental

Non-autgen con tis grft, Ea Add

D4285

300

Dental

Obturator prosthesis, interim

D5936

1159

Dental

Obturator prosthesis, modificat

D5933

155

Dental

Obturator prosthesis, surgical

D5931

965

Dental

Obturator prosthesis,definitive

D5932

2086

Dental

Occlusal adjustment-complete

D9952

929

Dental

Occlusal adjustment-limited

D9951

270

Dental

Occlusal analysis-mounted case

D9950

523

Dental

Occlusal guard adjustment

D9943

100

Dental

Occlusal guards, by report

D9940

350

Dental

Occlusal ortho device adjustmnt

D7881

100

Dental

Occlusal orthotic device

D7880

1570

Dental

Ocular prosthesis

D5916

1171

Dental

Ocular prosthesis, interim

D5923

432

Dental

Odontoplasty 1-2 teeth-rmv enam

D9971

282

Dental

Office visit for observation

D9430

107

Dental

Office visit-after regular hrs

D9440

252

Dental

Onlay repair necessitated by restore mate

D2982

329

Dental

Onlay-cast high nob met, 3+surf

D6611

1681

Dental

Onlay-cast high noble met,2surf

D6610

1328

Dental

Onlay-cast noble metal, 2 surf

D6614

1268

Dental

Onlay-cast noble metal, 3+ surf

D6615

1339

Dental

Onlay-cast predomnt base, 2surf

D6612

1295

Dental

Onlay-cast predomnt base,3+surf

D6613

1344

Dental

Onlay-metallic-four + surfaces

D2544

1362

Dental

Onlay-metallic-three surfaces

D2543

1334

Dental

Description

CPT

Charge

Program / Organization

Onlay-metallic-two surfaces

D2542

1300

Dental

Onlay-porcel/ceram-2 surface

D2642

1368

Dental

Onlay-porcel/ceram-3 surface

D2643

1415

Dental

Onlay-porcel/ceram-4 + surface

D2644

1464

Dental

Onlay-porcelain/ceramic, 2 surf

D6608

1305

Dental

Onlay-porcelain/ceramic, 3+surf

D6609

1375

Dental

Onlay-resin based composite-2s

D2662

1285

Dental

Onlay-resin based composite-3s

D2663

1327

Dental

Onlay-resin based composite-4+s

D2664

1392

Dental

Onlay-titanium

D6634

1361

Dental

Open reduction of dislocation

D7810

6028

Dental

Oral antral fistula closure

D7260

1643

Dental

Oral B Brush

OralBbrsh

10

Dental

Oral B Electric toothbrush

Oral B

29

Dental

Oral evaluation < 3 yrs of age

D0145

97

Dental

Orbital prosthesis

D5915

2413

Dental

Orbital prosthesis, replacement

D5928

394

Dental

Ortho Not in Contract

D8999

50

Dental

Ortho treatment (bill/contract)

D8690

50

Dental

Osseous surg- 1-3 contg th/quad

D4261

1235

Dental

Osseous surgery-4+ per quad

D4260

1459

Dental

Osseous/cartilage graft-mandB/R

D7950

5000

Dental

Osteoplasty-orthognathic defor

D7940

5212

Dental

Osteotomy-body of mandible

D7945

9107

Dental

Osteotomy-mand rami w/ graft

D7943

11477

Dental

Osteotomy-mandibular rami

D7941

12000

Dental

Osteotomy-segment/subap-s/quad

D7944

9128

Dental

Other oral path procedure, B/R

D0502

239

Dental

Other TMJ films, by report

D0321

286

Dental

Overdenture - partial mandibular

D5866

2586

Dental

Overdenture - partial maxillary

D5864

2586

Dental

OverDenture Complete Mandibular

D5865

2472

Dental

OverDenture complete Maxillary

D5863

2472

Dental

Palatal augmentation prosthesis

D5954

1340

Dental

Palatal lift prosth, definitive

D5955

1712

Dental

Palatal lift prosth, modificat

D5959

242

Dental

Palatal lift prosthesis,interim

D5958

910

Dental

Panoramic film

D0330

145

Dental

Partial ostect/sequestrectomy

D7550

886

Dental

Partial pulpototomy apexogen

D3222

361

Dental

Pediatric part'l denture, fixed

D6985

1288

Dental

Pedicle soft tissue graft proc

D4270

1138

Dental

Perio scale&root pln-1-3th,quad

D4342

257

Dental

Perio scale&root pln-4+per quad

D4341

343

Dental

Periodic oral evaluation

D0120

68

Dental

Periodontal maintenance

D4910

193

Dental

Periradicular surgery without apicoectomy

D3427

602

Dental

Pin retention-/tooth, (+ rest)

D2951

107

Dental

Plcmnt of devc fo facil erup th

D7283

757

Dental

Plcmnt: temp anch w/ surg flap

D7293

2971

Dental

Plcmnt: temp anch w/o surg flap

D7294

2345

Dental

Pontic-cast high noble metal

D6210

1435

Dental

Pontic-cast noble metal

D6212

1385

Dental

Pontic-cast predominantly base

D6211

1357

Dental

Pontic-indirect res based comp

D6205

1187

Dental

Description

CPT

Charge

Program / Organization

Pontic-porcelain fused to base

D6241

1393

Dental

Pontic-porcelain fused to hnob

D6240

1492

Dental

Pontic-porcelain fused to nobl

D6242

1393

Dental

Pontic-porcelain/ceramic

D6245

1500

Dental

Pontic-resin w/ high noble met

D6250

1429

Dental

Pontic-resin w/ predomnt base

D6251

1393

Dental

Pontic-resin with noble metal

D6252

1396

Dental

Pontic-titanium

D6214

1364

Dental

Post removal (not with endo)

D2955

415

Dental

Precision attachment

D6950

929

Dental

Precision attachment, B/R

D5862

1045

Dental

Prefab abutment-incl placement

D6056

1250

Dental

Prefab Porcelain/Ceram Crn - Prim

D2929

426

Dental

Prefab post&core in add to crn

D2954

468

Dental

Prefab stain steel crn-primary

D2930

372

Dental

Prefab stain steel crown-perm

D2931

455

Dental

Prefab stl crown w/resin window

D2933

502

Dental

Prefabricated resin crown

D2932

500

Dental

Prefb esth ctd stnl stl crn-prm

D2934

453

Dental

Preventive Restoration, Perm Th

D1352

186

Dental

Prim closure sinus perforation

D7261

1087

Dental

Process/interpret exf cyt smear

D0480

240

Dental

Prophylaxis-adult(over 13)

D1110

126

Dental

Prophylaxis-child(under 13)

D1120

92

Dental

Protective Restoration

D2940

157

Dental

Provisional crown

D2799

629

Dental

Provisional pontic

D6253

1135

Dental

Provisional retainer crown

D6793

895

Dental

Provisional splinting-extracor

D4321

682

Dental

Provisional splinting-intracor

D4320

728

Dental

Pulp cap-direct, (+rest)

D3110

115

Dental

Pulp cap-indirect, (+ rest)

D3120

122

Dental

Pulp vitality tests

D0460

78

Dental

Pulpal debridemnt-prim/perm th

D3221

329

Dental

Pulpal regeneration - completion of tx

D3357

335

Dental

Pulpal regeneration - initial visit

D3355

414

Dental

Pulpal regeneration - intrm medication repl

D3356

270

Dental

Pulpal therapy-anterior,primary

D3230

412

Dental

Pulpal therapy-posterior, prim

D3240

466

Dental

Rad resectn-maxilla or mandible

D7490

10626

Dental

Radiation carrier

D5983

715

Dental

Radiation cone locator

D5985

719

Dental

Radiation shield

D5984

659

Dental

Radiogrph/sur impl index B/R

D6190

487

Dental

Reattachmnt of tooth fragment, incisal edge

D2921

286

Dental

Rebase complete mand denture

D5711

804

Dental

Rebase complete maxil denture

D5710

804

Dental

Rebase mand partial denture

D5721

786

Dental

Rebase maxil partial denture

D5720

786

Dental

Rebond of fixed retainer

D8693

50

Dental

Recement crown

D2920

150

Dental

Recement fixed partial denture

D6930

240

Dental

Recement impl/abut sup crown

D6092

215

Dental

Recement impl/abut sup FPD

D6093

234

Dental

Recement inlay/onlay/partial

D2910

145

Dental

Description

CPT

Charge

Program / Organization

Recementation of space maint

D1550

114

Dental

Recemnt cast or prefab pst/cor

D2915

151

Dental

Reduction of osseous tuberosity

D7485

1066

Dental

Re-evaluation post operative

D0171

67

Dental

Regional block anesthesia

D9211

137

Dental

Reimplantation/stabilization

D7270

792

Dental

Reline complete mand (lab)

D5751

653

Dental

Reline complete mand-chairside

D5731

522

Dental

Reline complete maxil-chairside

D5730

522

Dental

Reline complete maxillary (lab)

D5750

653

Dental

Reline mand partial-chairside

D5741

516

Dental

Reline mandibular partial (lab)

D5761

643

Dental

Reline maxil partial-chairside

D5740

516

Dental

Reline maxillary partial (lab)

D5760

643

Dental

Rem benign nonodont-di<=1.25cm

D7460

757

Dental

Rem benign nonodont-diam>1.25cm

D7461

1220

Dental

Rem benign odont-diam<=1.25cm

D7450

798

Dental

Rem benign odont-diam>1.25 cm

D7451

1072

Dental

Remov impact-comp bony w/ comp

D7241

804

Dental

Removable appliance therapy

D8210

400

Dental

Removable unilat part denture

D5281

1397

Dental

Removal of exostosis-per site

D7471

946

Dental

Removal of fixed space maint

D1555

106

Dental

Removal of torus mandibularis

D7473

1079

Dental

Removal of torus palatinus

D7472

1235

Dental

Removal residual tooth roots

D7250

428

Dental

Remove foreign body from bone

D7540

1048

Dental

Remove foreign body from tissue

D7530

532

Dental

Rep maxillofacial sft/hrd tis

D7955

5588

Dental

Repair broken complete dent base, mandi

D5511

292

Dental

Repair broken complete denture base, maxi

D5512

292

Dental

Repair cast partial framework, mandibular

D5621

408

Dental

Repair cast partial framework, maxil

D5622

408

Dental

Repair implant abutment, B/R

D6095

1000

Dental

Repair implant sup prosth, B/R

D6090

1027

Dental

Repair of fxd reatiners, includes reattachm

D8694

150

Dental

Repair of orthodontic appliance

D8691

100

Dental

Repair of peri-implnt defect bone only

D6103

1080

Dental

Repair or replace broken clasp

D5630

362

Dental

Repair resin partial denture base, mand

D5611

286

Dental

Repair resin partial denture base, maxi

D5612

286

Dental

Repair/Reline of occlusal guard

D9942

428

Dental

Replace all th&acrylic-mand

D5671

1032

Dental

Replace all th&acrylic-maxil

D5670

1032

Dental

Replace broken teeth-per tooth

D5640

250

Dental

Replace teeth-comp dent (ea th)

D5520

256

Dental

Replcmt prec attachmt-part/full

D5867

562

Dental

Resin composite crown, anterior

D2390

616

Dental

Resin composite-1s, posterior

D2391

239

Dental

Resin composite-2s, posterior

D2392

313

Dental

Resin composite-3s, posterior

D2393

392

Dental

Resin composite-4+s, posterior

D2394

464

Dental

Resin infiltration incipient smooth surfac

D2990

196

Dental

Resin retainr - for bonded fix prosthesis

D6549

1071

Dental

Resin-4+ w/incis angle-anterior

D2335

414

Dental

Description

CPT

Charge

Program / Organization

Resin-one surface, anterior

D2330

215

Dental

Resin-three surfaces, anterior

D2332

336

Dental

Resin-two surfaces, anterior

D2331

271

Dental

Restorative fndtn for an indirect restor

D2949

209

Dental

Retain crn-porcelain/ceramic

D6740

1525

Dental

Retainer crn-3/4 cast h nob met

D6780

1429

Dental

Retainer crn-full cast base

D6791

1338

Dental

Retainer crn-full cast hi nob

D6790

1453

Dental

Retainer crn-full cast nob met

D6792

1385

Dental

Retainer crn-indir res-bas comp

D6710

1224

Dental

Retainer crn-porc fuse-base met

D6751

1366

Dental

Retainer crn-porc fused-hi nob

D6750

1500

Dental

Retainer crn-porc fused-nob met

D6752

1408

Dental

Retainer crn-res w/ hi nob met

D6720

1500

Dental

Retainer crn-resin w/ base met

D6721

1370

Dental

Retainer crn-resin w/ nob met

D6722

1372

Dental

Retainer crown-titanium

D6794

1328

Dental

Retainer replacemnt-lost/broken

D8692

300

Dental

Retainer-cast for resin bonded

D6545

1178

Dental

Ret-porc/cer-resin bnd fxd pros

D6548

1393

Dental

Retreat, prev RCT - anterior

D3346

1142

Dental

Retreat, prev RCT - bicuspid

D3347

1300

Dental

Retreat, prev RCT - molar

D3348

1553

Dental

Retrograde filling-per root

D3430

414

Dental

Root amputation-per root

D3450

678

Dental

Root canal therapy - anterior

D3310

955

Dental

Root canal therapy - bicuspid

D3320

1109

Dental

Root canal therapy - molar

D3330

1328

Dental

Rotadent

Rotadent

125

Dental

Rotadent Brush

RBrush

10

Dental

Rpl attchmt imp/abt sup prosth

D6091

901

Dental

RS Abtmt supp cast mtl crown-base

D6063.R

1161

Dental

RS Abtmt supp cast mtl crown-hinob

D6062.R

1350

Dental

RS Abtmt supp cast mtl crown-noble

D6064.R

1150

Dental

RS Abtmt supp porc fused to hi-nob

D6059.R

1398

Dental

RS Abtmt supp porc fused-base metl

D6060.R

1171

Dental

RS Abtmt supp porc fused-mtl crown

D6061.R

1350

Dental

RS Abtmt supp ret for porc/cer FPD

D6068.R

1240

Dental

RS Abut sup ret-cast mtl FPD-base

D6073.R

1203

Dental

RS Abut sup ret-cast mtl FPD-hinob

D6072.R

1253

Dental

RS Abut sup ret-cast mtl FPD-noble

D6074.R

1181

Dental

RS Abut sup ret-cast mtl FPD-titan

D6194.R

1189

Dental

RS Abut sup ret-porc fsd mtl FPDbm

D6070.R

1193

Dental

RS Abut sup ret-porc fsd mtl FPDhn

D6069.R

1257

Dental

RS Abut sup ret-porc fsd mtl FPDno

D6071.R

1176

Dental

RS Abutment supported porc/cer crn

D6058.R

1400

Dental

RS Biologic materials to aid soft& osseou

D3431.R

341

Dental

RS Bone Graft at time of Implt plcmnt

D6104.R

756

Dental

RS Bone graft in conjuctn w periradicular

D3428.R

447

Dental

RS Bone replace graft-1st site/qu

D4263.R

745

Dental

RS Crown-3/4 cast high noble metal

D2780.R

995

Dental

RS Crown-3/4 cast most base metal

D2781.R

967

Dental

RS Crown-3/4 cast most base metal

D6781.R

977

Dental

RS Crown-3/4 cast noble metal

D6782.R

975

Dental

RS Crown-3/4 cast noble metal

D2782.R

981

Dental

Description

CPT

Charge

Program / Organization

RS Crown-3/4 porcelain/ceramic

D6783.R

1050

Dental

RS Crown-3/4 porcelain/ceramic

D2783.R

1051

Dental

RS Crown-3/4 resin-based comp-ind

D2712.R

871

Dental

RS Crown-full cast base metal

D2791.R

946

Dental

RS Crown-full cast high noble mtl

D2790.R

1020

Dental

RS Crown-full cast noble metal

D2792.R

971

Dental

RS Crown-porc fuse high noble mtl

D2750.R

1045

Dental

RS Crown-porc fused noble metal

D2752.R

986

Dental

RS Crown-porc fused to base metal

D2751.R

956

Dental

RS Crown-porcelain/ceramic substr

D2740.R

1075

Dental

RS Crown-resin composite(indirect)

D2710.R

850

Dental

RS Crown-resin w/ most base metal

D2721.R

940

Dental

RS Crown-resin w/high noble metal

D2720.R

1021

Dental

RS Crown-resin with noble metal

D2722.R

951

Dental

RS Custom abutment-incl placement

D6057.R

981

Dental

RS Dent implant sup connecting bar

D6055.R

2786

Dental

RS Guided tiss regen-nonresorb-per

D4267.R

1038

Dental

RS Guided tiss regen-resorb-per

D4266.R

850

Dental

RS Guided tiss regnratn, resorbable barri

D3432.R

388

Dental

RS Imd Mand part-cast metl w/resin

D5224.R

1400

Dental

RS Imd Max part-cast metl w/resin

D5223.R

1400

Dental

RS Implant supp porc fused mtl crn

D6066.R

1768

Dental

RS Implant supp porc/cer crown

D6065.R

1287

Dental

RS Implant supp ret-cast metal FPD

D6077.R

1506

Dental

RS Implant supp ret-ceramic FPD

D6075.R

1500

Dental

RS Implant supported metal crown

D6067.R

1772

Dental

RS Implant/abutmnt supportd remov denture

D6111.R

2300

Dental

RS Implant/abutmnt supportd remov denture

D6113.R

2309

Dental

RS Implant/abutmnt supportd remov denture

D6110.R

2386

Dental

RS Implnt supp ret-prc fuse mtlFPD

D6076.R

1500

Dental

RS Inlay-cast high nob met, 3+surf

D6603.R

884

Dental

RS Inlay-cast high noble met,2surf

D6602.R

860

Dental

RS Inlay-cast noble metal, 2 surf

D6606.R

840

Dental

RS Inlay-cast noble metal, 3+ surf

D6607.R

865

Dental

RS Inlay-cast predomnt base, 2surf

D6604.R

862

Dental

RS Inlay-cast predomnt base,3+surf

D6605.R

895

Dental

RS Inlay-metallic-one surface

D2510.R

808

Dental

RS Inlay-metallic-three + surfaces

D2530.R

878

Dental

RS Inlay-metallic-two surfaces

D2520.R

815

Dental

RS Inlay-porcel/ceramic-1 surface

D2610.R

845

Dental

RS Inlay-porcel/ceramic-2 surface

D2620.R

900

Dental

RS Inlay-porcel/ceramic-3+ surface

D2630.R

945

Dental

RS Inlay-porcelain/ceramic, 2 surf

D6600.R

834

Dental

RS Inlay-porcelain/ceramic, 3+surf

D6601.R

898

Dental

RS Inlay-resin based composite-1s

D2650.R

850

Dental

RS Inlay-resin based composite-2s

D2651.R

862

Dental

RS Inlay-resin based composite-3+s

D2652.R

895

Dental

RS Mand partial-metal base w/sdls

D5214.R

1700

Dental

RS Maxil partial-metal Base W/sdls

D5213.R

1700

Dental

RS Onlay-cast high nob met, 3+surf

D6611.R

1177

Dental

RS Onlay-cast high noble met,2surf

D6610.R

930

Dental

RS Onlay-cast noble metal, 2 surf

D6614.R

888

Dental

RS Onlay-cast noble metal, 3+ surf

D6615.R

937

Dental

RS Onlay-cast predomnt base, 2surf

D6612.R

907

Dental

RS Onlay-cast predomnt base,3+surf

D6613.R

941

Dental

Description

CPT

Charge

Program / Organization

RS Onlay-metallic-four + surfaces

D2544.R

953

Dental

RS Onlay-metallic-three surfaces

D2543.R

934

Dental

RS Onlay-metallic-two surfaces

D2542.R

910

Dental

RS Onlay-porcel/ceram-2 surface

D2642.R

958

Dental

RS Onlay-porcel/ceram-3 surface

D2643.R

991

Dental

RS Onlay-porcel/ceram-4 + surface

D2644.R

1025

Dental

RS Onlay-porcelain/ceramic, 2 surf

D6608.R

914

Dental

RS Onlay-porcelain/ceramic, 3+surf

D6609.R

963

Dental

RS Onlay-resin based composite-2s

D2662.R

900

Dental

RS Onlay-resin based composite-3s

D2663.R

929

Dental

RS Onlay-resin based composite-4+s

D2664.R

974

Dental

RS Osseous surg- 1-3 contg th/quad

D4261.R

865

Dental

RS Overdenture - partial mandibular

D5866.R

1810

Dental

RS Overdenture - partial maxillary

D5864.R

1810

Dental

RS OverDenture Complete Mandibular

D5865.R

1730

Dental

RS OverDenture complete Maxillary

D5863.R

1730

Dental

RS Pontic-cast high noble metal

D6210.R

1005

Dental

RS Pontic-cast noble metal

D6212.R

970

Dental

RS Pontic-cast predominantly base

D6211.R

950

Dental

RS Pontic-porcelain fused to base

D6241.R

975

Dental

RS Pontic-porcelain fused to hnob

D6240.R

1044

Dental

RS Pontic-porcelain fused to nobl

D6242.R

975

Dental

RS Pontic-porcelain/ceramic

D6245.R

1050

Dental

RS Pontic-resin w/ high noble met

D6250.R

1000

Dental

RS Pontic-resin w/ predomnt base

D6251.R

975

Dental

RS Pontic-resin with noble metal

D6252.R

977

Dental

RS Pontic-titanium

D6214.R

955

Dental

RS Prefab abutment-incl placement

D6056.R

875

Dental

RS Provisional crown

D2799.R

440

Dental

RS Provisional pontic

D6253.R

795

Dental

RS Provisional retainer crown

D6793.R

627

Dental

RS Repair of peri-implnt defect bone only

D6103.R

756

Dental

RS Resin retainr or bonded fix prosthesis

D6549.R

750

Dental

RS Retain crn-porcelain/ceramic

D6740.R

1068

Dental

RS Retainer crn-3/4 cast h nob met

D6780.R

1000

Dental

RS Retainer crn-full cast base

D6791.R

937

Dental

RS Retainer crn-full cast hi nob

D6790.R

1017

Dental

RS Retainer crn-full cast nob met

D6792.R

970

Dental

RS Retainer crn-indir res-bas comp

D6710.R

857

Dental

RS Retainer crn-porc fuse-base met

D6751.R

956

Dental

RS Retainer crn-porc fused-hi nob

D6750.R

1050

Dental

RS Retainer crn-porc fused-nob met

D6752.R

986

Dental

RS Retainer crn-res w/ hi nob met

D6720.R

1050

Dental

RS Retainer crn-resin w/ base met

D6721.R

959

Dental

RS Retainer crn-resin w/ base met

D6722.R

960

Dental

RS Retainer crown-titanium

D6794.R

930

Dental

RS Retainer-cast for resin bonded

D6545.R

825

Dental

RS Ret-porc/cer-resin bnd fxd pros

D6548.R

975

Dental

RS Sinus augmentation w/bone

D7951.R

3718

Dental

RS Surg place implant: endosteal

D6010.R

1900

Dental

RSBone repl grft ridge prsv/site

D7953.R

1159

Dental

RSComplete denture - mandibular

D5120.R

1601

Dental

RSComplete denture - maxillary

D5110.R

1601

Dental

RSImplant/abutmnt suportd remov denture f

D6112.R

2139

Dental

RSInlay-titanium

D6624.R

920

Dental

Description

CPT

Charge

Program / Organization

RSOnlay-titanium

D6634.R

953

Dental

Saliography

D0310

547

Dental

Sample collection for analysis

D0422

100

Dental

Scale,gingival inflam-full mth

D4346

156

Dental

Scaling/debridement of implant

D6081

50

Dental

Screening of a Patient

D0190

54

Dental

Sealant-per tooth

D1351

62

Dental

Second stage implant surgery

D6011

497

Dental

Semi presicsion attachment adutment

D6052

946

Dental

Sialodochoplasty

D7982

2408

Dental

Sialolithotomy

D7980

1150

Dental

Sinus Augmentation via Vert Approach

D7952

5312

Dental

Sinus augmentation w/bone

D7951

5312

Dental

Skin grafts, by report

D7920

3589

Dental

Soft tissue allograft

D4275

1360

Dental

SP Complete denture - mandibular

D5120.S

2286

Dental

SP Complete-denture- maxillary

D5110.S

2286

Dental

SP Comprehensive orth,transitional

D8070.S

6000

Dental

SP Comprehensive ortho, adolescent

D8080.S

6000

Dental

SP Comprehensive ortho, adult dent

D8090.S

6000

Dental

SP Surg place implant: endosteal

D6010.S

2714

Dental

Space maint-fixed-bilateral

D1515

599

Dental

Space maint-fixed-unil,dst shoe

D1575

100

Dental

Space maint-fixed-unilateral

D1510

437

Dental

Space maint-remov-bilateral

D1525

660

Dental

Space maint-remov-unilateral

D1520

535

Dental

Speech aid prosth, modification

D5960

236

Dental

Speech aid prosthesis, adult

D5953

2100

Dental

Speech aid prosthesis,pediatric

D5952

557

Dental

Stress breaker

D6940

629

Dental

Subepithelial con tis graft/th

D4273

1429

Dental

Surg isolation of th w/rub dam

D3910

358

Dental

Surg place implant: endosteal

D6010

2714

Dental

Surg place: transosteal implant

D6050

6541

Dental

Surg reduc, fibrous tuberosity

D7972

1176

Dental

Surg revision proc, per tooth

D4268

1138

Dental

Surgic place: eposteal implant

D6040

11174

Dental

Surgical discect:w/ w/o implant

D7850

7249

Dental

Surgical placement of mini implant

D6013

1174

Dental

Surgical placement of temp anchorage de

D7292

3629

Dental

Surgical reposition of teeth

D7290

740

Dental

Surgical splint

D5988

1140

Dental

Surgical stent

D5982

644

Dental

Suture of small wounds to 5cm

D7910

445

Dental

Synovectomy

D7854

6797

Dental

T/SC Fiberotomy, B/R

D7291

464

Dental

Temporary crown (fractured th)

D2970

587

Dental

Therapeutic drug injection, B/R

D9610

166

Dental

Therapeutic pulpotomy(exc rest)

D3220

280

Dental

Tissue condition, mandibular

D5851

290

Dental

Tissue condition, maxillary

D5850

290

Dental

TMJ arthrogram, incl injection

D0320

850

Dental

Tomographic survey

D0322

757

Dental

Tooth transplantation

D7272

1070

Dental

Toothpaste High Fluoride

toothpast

11

Dental

Description

CPT

Charge

Program / Organization

Topical appl Fluoride(NOT VARNISH)

D1208

30

Dental

Topical medicament carrier

D5991

284

Dental

Treat complications-postsurgic

D9930

208

Dental

Treatmnt of root canal obstruct

D3331

822

Dental

Trigeminal division blk anesth

D9212

384

Dental

Trismus appliance (not TMD)

D5937

858

Dental

Unscheduled dressing change

D4920

143

Dental

Unspec maxillofacial prosth B/R

D5999

50

Dental

Unspecif restorative proced B/R

D2999

50

Dental

Unspecified adjunct. proced,B/R

D9999

50

Dental

Unspecified diag procedure, B/R

D0999

50

Dental

Unspecified endo procedure, B/R

D3999

50

Dental

Unspecified implant proced, B/R

D6199

660

Dental

Unspecified oral surg proc, B/R

D7999

50

Dental

Unspecified perio proced, B/R

D4999

50

Dental

Unspecified prevent proc

D1999

50

Dental

Unspecified remove prosth, B/R

D5899

50

Dental

Unspecified TMD therapy, B/R

D7899

50

Dental

USE D5863 Overdenture-complete, B/R

D5860

2767

Dental

USE D5865 Overdenture-partial, by report

D5861

2785

Dental

Veneer repair necessitated by restore mat

D2983

347

Dental

Vertical bitewings-7 to 8 films

D0277

136

Dental

Vestibuloplasty-ridge ext -2nd

D7340

1663

Dental

Vestiplasty-ridge ext (inc)

D7350

3508

Dental

Viral Culture

D0416

202

Dental

Waterpik

Waterpik

50

Dental

Xylitol Mints 120 pk Fruit

xmint-f

5

Dental