43221 Per joint
| 40000 | PERIODONTICS |
||
| 43000 | PERIODONTAL PROCEDURES, ADJUNCTIVE |
||
| 43200 | PERIODONTAL SPLINTING OR LIGATION, EXTRA CORONAL |
||
| 43220 | Bonded, Interproximal Enamel Splint |
||
| 43221 | Per joint | $79.45 | $79.45 |