41219 Each additional unit over four
40000 | PERIODONTICS |
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41000 | PERIODONTAL SERVICES, NON SURGICAL |
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41200 | ORAL DISEASE, Management of |
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41210 | Oral Manifestations, Oral Mucosal Disorders, Mucocutaneous disorders and diseases of localized |
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41219 | Each additional unit over four | $83.42 | $83.42 |