02504 Four images (minimum examination and diagnosis closed and open each side)
| 00000 | DIAGNOSTIC |
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| 02000 | RADIOGRAPHS (including radiographic examination and diagnosis and interpretation) |
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| 02500 | RADIOGRAPHS, TEMPOROMANDIBULAR JOINT |
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| 02504 | Four images (minimum examination and diagnosis closed and open each side) | $233.45 | $233.45 |