13223 Three units
| 10000 | PREVENTION |
||
| 13000 | PREVENTIVE SERVICES, OTHER |
||
| 13200 | ORAL HYGIENE INSTRUCTION/PLAQUE CONTROL |
||
| 13220 | Group Instruction - Excluding Audio-Visual Time |
||
| 13223 | Three units | $222.04 | $222.04 |