71211 Single Tooth
| 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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| 71210 | Requiring elevation of a Flap, Removal of Bone and may include Sectioning of Tooth for Removal of |
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| 71211 | Single Tooth | $275.7 | $275.7 |