42630 Grafts, Osseous, Xenograft (Including Flap Entry and Closure)
40000 | PERIODONTICS |
||
42000 | PERIODONTAL SERVICES, SURGICAL |
||
42600 | PERIODONTAL SURGERY, FLAPS, GRAFTS, OSSEOUS TISSUE |
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42630 | Grafts, Osseous, Xenograft (Including Flap Entry and Closure) | ||
42631 | Per Site |
1111.75
+Material Expenses |
1111.75
+Mater. Exp. |