39310 Bleaching Endodontically Treated Tooth/Teeth
| 30000 | ENDODONTICS |
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| 39000 | ENDODONTIC, PROCEDURES, MISCELLANEOUS |
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| 39300 | BLEACHING, NON VITAL |
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| 39310 | Bleaching Endodontically Treated Tooth/Teeth | ||
| 39311 | One unit of time |
84.46 | 84.46 |
| 39312 | Two units |
169.97 | 169.97 |
| 39313 | Three units |
255.5 | 255.5 |
| 39319 | Each additional unit over three |
84.46 | 84.46 |