49102 Two units
| 40000 | PERIODONTICS |
||
| 49000 | PERIODONTAL SERVICES, MISCELLANEOUS |
||
| 49100 | PERIODONTAL RE-EVALUATION/EVALUATION |
||
| 49102 | Two units | $158.92 | $158.92 |
| 40000 | PERIODONTICS |
||
| 49000 | PERIODONTAL SERVICES, MISCELLANEOUS |
||
| 49100 | PERIODONTAL RE-EVALUATION/EVALUATION |
||
| 49102 | Two units | $158.92 | $158.92 |