71109 Each additional tooth, same quadrant, same appointment
| 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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| 71109 | Each additional tooth, same quadrant, same appointment | $140.21 | $140.21 |