39101 Banding and/or Coronal Buildup of Tooth/Teeth and/or Contouring of Tissue Surrounding Tooth/Teeth to Maintain Aseptic Operating Field (per tooth)
| 30000 | ENDODONTICS |
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| 39000 | ENDODONTIC, PROCEDURES, MISCELLANEOUS |
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| 39100 | ISOLATION OF ENDODONTIC TOOTH/TEETH FOR ASEPSIS |
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| 39101 | Banding and/or Coronal Buildup of Tooth/Teeth and/or Contouring of Tissue Surrounding Tooth/Teeth to Maintain Aseptic Operating Field (per tooth) | $166.84 | $166.84 |