13230 Re-Instruction (Within 6 Months) - Excluding Audio-Visual Time
| 10000 | PREVENTION |
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| 13000 | PREVENTIVE SERVICES, OTHER |
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| 13200 | ORAL HYGIENE INSTRUCTION/PLAQUE CONTROL |
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| 13230 | Re-Instruction (Within 6 Months) - Excluding Audio-Visual Time | ||
| 13231 | One unit of time |
74.0 | 74.0 |
| 13232 | Two units |
148.02 | 148.02 |
| 13239 | Each additional unit over two |
74.0 | 74.0 |