42331 First tooth
| 40000 | PERIODONTICS |
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| 42000 | PERIODONTAL SERVICES, SURGICAL |
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| 42300 | PERIODONTAL SURGERY, GINGIVECTOMY |
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| 42330 | Gingival Fiber Incision (supra crestal fibrotomy) |
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| 42331 | First tooth | $84.89 | $84.89 |