71209 Each additional tooth, same quadrant
| 70000 | ORAL MAXILLOFACIAL SURGERY |
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| 71000 | REMOVALS, (EXTRACTIONS), ERUPTED TEETH |
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| 71200 | REMOVALS, ERUPTED TEETH, COMPLICATED |
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| 71209 | Each additional tooth, same quadrant | $252.86 | $252.86 |