14710 Appliance, TMJ, Diagnostic and/or Therapeutic, includes impression, insertion and insertion adjustment (no post-insertion adjustments)
| 10000 | PREVENTION |
||
| 14000 | APPLIANCES |
||
| 14700 | APPLIANCES, TEMPOROMANDIBULAR JOINT |
||
| 14710 | Appliance, TMJ, Diagnostic and/or Therapeutic, includes impression, insertion and insertion adjustment (no post-insertion adjustments) | ||
| 14711 | Maxillary Appliance |
643.26
+Lab Costs |
643.26
+Lab Costs |
| 14712 | Mandibular Appliance |
643.26
+Lab Costs |
643.26
+Lab Costs |