71101 Single tooth, Uncomplicated
| 70000 | ORAL MAXILLOFACIAL SURGERY |
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| 71000 | REMOVALS, (EXTRACTIONS), ERUPTED TEETH |
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| 71100 | REMOVALS, ERUPTED TEETH, UNCOMPLICATED |
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| 71101 | Single tooth, Uncomplicated | $140.21 | $140.21 |