91110 Palliative (emergency) Treatment of Dental Pain, Minor Procedure
| 90000 | GENERAL SERVICES |
||
| 91000 | UNCLASSIFIED TREATMENTS |
||
| 91100 | UNCLASSIFIED TREATMENT, DENTAL PAIN |
||
| 91110 | Palliative (emergency) Treatment of Dental Pain, Minor Procedure | ||
| 91111 | One unit of time |
107.98 | 107.98 |
| 91112 | Two units |
215.97 | 215.97 |
| 91113 | Three units |
323.95 | 323.95 |
| 91119 | Each additional unit over three |
107.98 | 107.98 |