84000 Comprehensive orthodontic treatment, case type - fixed appliance, PERMANENT DENTITION

80000

ORTHODONTICS

84000 Comprehensive orthodontic treatment, case type - fixed appliance, PERMANENT DENTITION
Additional Information: Add'l Info:

(includes formal full banded treatment and retention)
The range of fees with these procedure codes reflects such variables as length of time required to
complete the treatment, degree of difficulty, co-operation of the patient, etc. and the fee charged
should be determined accordingly.

84101

Class l Malocclusion

3495.67 - 10487.01
+Lab Costs
3495.67 - 10487.01
+Lab Costs
84201

Class ll Malocclusion

5243.5 - 13982.71
+Lab Costs
5243.5 - 13982.71
+Lab Costs
84301

Class lll Malocclusions

5243.5 - 13982.71
+Lab Costs
5243.5 - 13982.71
+Lab Costs
84401

Malocclusions Not Requiring Complete Banding

1747.83 - 4369.59
+Lab Costs
1747.83 - 4369.59
+Lab Costs
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