72221 Single tooth
| 70000 | ORAL MAXILLOFACIAL SURGERY |
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| 72000 | REMOVALS, (EXTRACTIONS), SURGICAL |
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| 72200 | REMOVALS, IMPACTIONS, INVOLVING TISSUE AND/OR BONE COVERAGE |
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| 72220 | Removals, Impaction, Requiring Incision of Overlying Soft Tissue, Elevation of A Flap, Removal of |
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| 72221 | Single tooth | $499.98 | $499.98 |