14730 Appliance, TMJ, Periodic Maintenance, Adjustments, Repairs
| 10000 | PREVENTION |
||
| 14000 | APPLIANCES |
||
| 14700 | APPLIANCES, TEMPOROMANDIBULAR JOINT |
||
| 14730 | Appliance, TMJ, Periodic Maintenance, Adjustments, Repairs | ||
| 14731 | One unit of time |
83.42
+Lab Costs |
83.42
+Lab Costs |
| 14732 | Two units |
166.84
+Lab Costs |
166.84
+Lab Costs |
| 14733 | Three units |
250.28
+Lab Costs |
250.28
+Lab Costs |
| 14739 | Each additional unit over three |
83.42
+Lab Costs |
83.42
+Lab Costs |