01101 Examination and Diagnosis, Complete, Primary Dentition, to include:
| 00000 | DIAGNOSTIC |
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| 01000 | EXAMINATION AND DIAGNOSIS, CLINICAL ORAL |
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| 01100 | EXAMINATIONS, AND DIAGNOSIS COMPLETE ORAL, to include: |
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| 01101 | Examination and Diagnosis, Complete, Primary Dentition, to include: | $74.29 | $74.29 |
| Details: | Extended examination and diagnosis on primary dentition, recording history, charting, treatment |