72809 Each Additional Tooth
70000 | ORAL MAXILLOFACIAL SURGERY |
||
72000 | REMOVALS, (EXTRACTIONS), SURGICAL |
||
72800 | REMOVAL OF FRACTURED CUSP AS A SEPARATE PROCEDURE, NOT IN CONJUCTION WITH SURGICAL |
||
72809 | Each Additional Tooth | $84.27 | $84.27 |