42111 Per sextant
| 40000 | PERIODONTICS |
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| 42000 | PERIODONTAL SERVICES, SURGICAL |
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| 42100 | PERIODONTAL SURGERY, GINGIVAL CURETTAGE |
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| 42110 | Surgical Curettage, To Include Definitive Root Planing |
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| 42111 | Per sextant | $218.47 | $218.47 |