72639 Each additional tooth, same quadrant
| 70000 | ORAL MAXILLOFACIAL SURGERY |
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| 72000 | REMOVALS, (EXTRACTIONS), SURGICAL |
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| 72600 | SURGICAL MOVEMENT OF TEETH |
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| 72630 | Repositioning, Surgical |
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| 72639 | Each additional tooth, same quadrant | $499.98 | $499.98 |