41239 Each additional unit over four

40000	PERIODONTICS
41000	PERIODONTAL SERVICES, NON SURGICAL
41200	ORAL DISEASE, Management of
41230	Oral Manifestations of Systemic Disease or complications of medical therapy e.g. complications of chemotherapy, radiation therapy, post operative neuropathics, post surgical or radiation therapy, dysfunction, oral manifestations of lupus erythematosis and systemic disease including leukemia, diabetes and bleeding disorders (e.g. haemophilia)
41239	Each additional unit over four	$83.42	$83.42