72800 REMOVAL OF FRACTURED CUSP AS A SEPARATE PROCEDURE, NOT IN CONJUCTION WITH SURGICAL OR RESTORATIVE PROCEDURES ON THE SAME TOOTH
70000 | ORAL MAXILLOFACIAL SURGERY |
||
72000 | REMOVALS, (EXTRACTIONS), SURGICAL |
||
72800 | REMOVAL OF FRACTURED CUSP AS A SEPARATE PROCEDURE, NOT IN CONJUCTION WITH SURGICAL OR RESTORATIVE PROCEDURES ON THE SAME TOOTH | ||
72801 | First tooth |
84.27 | 84.27 |
72809 | Each Additional Tooth |
84.27 | 84.27 |