28100 RESTORATIVE PROCEDURES, OVERDENTURES, DIRECT

20000

RESTORATION

28000

RESTORATIVE PROCEDURES, OVERDENTURES

28100 RESTORATIVE PROCEDURES, OVERDENTURES, DIRECT
28101

Natural Tooth Preparation, Placement of Pulp Chamber Restoration (amalgam or composite) and Fluoride Application Endodontically Treated Tooth

228.39 228.39
28102

Natural Tooth Preparation and Fluoride Application, Vital Tooth

273.25 273.25
28103

Pre-fabricated Attachment, as an Internal/External Overdenture Retentive Device, Direct to a Natural
Tooth (used with the appropriate denture code) per tooth

273.25
+Lab Costs
+Material Expenses
273.25
+Lab Costs
+Mater. Exp.
28105

Implant-supported Prefabricated Attachment as an Overdenture Retentive Device, Direct

136.62
+Material Expenses
136.62
+Mater. Exp.
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