01201 Examination and Diagnosis, Limited, Oral, New Patient. Examination and diagnosis of hard and soft tissues, including checking of occlusion and appliances, but not including specific test/ analysis as for 01100. (May include PSR)
| 00000 | DIAGNOSTIC |
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| 01000 | EXAMINATION AND DIAGNOSIS, CLINICAL ORAL |
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| 01200 | EXAMINATIONS AND DIAGNOSIS, LIMITED ORAL |
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| 01201 | Examination and Diagnosis, Limited, Oral, New Patient. Examination and diagnosis of hard and soft tissues, including checking of occlusion and appliances, but not including specific test/ analysis as for 01100. (May include PSR) | $78.66 | $78.66 |