Displaying 361 - 400 of 2652

14900

APPLIANCES, INTRAORAL, TO TREAT MEDICALLY DIAGNOSED OBSTRUCTIVE SLEEP APNEA,
SNORING, UPPER AIRWAY RESISTANCE SYNDROM (UARS) WITH OR WITHOUT APNEA (Includes
models, gnathological determinants, appliance construction and insertion adjustment [no post-
insertion adjustments])
14920

Appliance, Intraoral, For the Treatment of Obstructive Airway Disorders, Monitoring To include
patient to ensure proper use of appliances and evaluation for referrals to other health care
professionals for appropriate medical management.
14900

APPLIANCES, INTRAORAL, TO TREAT MEDICALLY DIAGNOSED OBSTRUCTIVE SLEEP APNEA,
SNORING, UPPER AIRWAY RESISTANCE SYNDROM (UARS) WITH OR WITHOUT APNEA (Includes
models, gnathological determinants, appliance construction and insertion adjustment [no post-
insertion adjustments])
14920

Appliance, Intraoral, For the Treatment of Obstructive Airway Disorders, Monitoring To include
patient to ensure proper use of appliances and evaluation for referrals to other health care
professionals for appropriate medical management.
14921

One unit of time

 $77.9 $77.9
14900

APPLIANCES, INTRAORAL, TO TREAT MEDICALLY DIAGNOSED OBSTRUCTIVE SLEEP APNEA,
SNORING, UPPER AIRWAY RESISTANCE SYNDROM (UARS) WITH OR WITHOUT APNEA (Includes
models, gnathological determinants, appliance construction and insertion adjustment [no post-
insertion adjustments])
14920

Appliance, Intraoral, For the Treatment of Obstructive Airway Disorders, Monitoring To include
patient to ensure proper use of appliances and evaluation for referrals to other health care
professionals for appropriate medical management.
14922

Two units

 $155.8 $155.8
14900

APPLIANCES, INTRAORAL, TO TREAT MEDICALLY DIAGNOSED OBSTRUCTIVE SLEEP APNEA,
SNORING, UPPER AIRWAY RESISTANCE SYNDROM (UARS) WITH OR WITHOUT APNEA (Includes
models, gnathological determinants, appliance construction and insertion adjustment [no post-
insertion adjustments])
14920

Appliance, Intraoral, For the Treatment of Obstructive Airway Disorders, Monitoring To include
patient to ensure proper use of appliances and evaluation for referrals to other health care
professionals for appropriate medical management.
14929

Each additional unit over two

 $77.9 $77.9
10000

PREVENTION
15000

SPACE MAINTAINERS
Additional Information: Add'l Info:

(Includes the design, separation, fabrication, insertion, and where applicable initial cementation and
removal)
15000

SPACE MAINTAINERS
15100

SPACE MAINTAINERS, BAND TYPE
15100

SPACE MAINTAINERS, BAND TYPE
15101

Space Maintainer, Band Type, Fixed, Unilateral

 $257.03
+Lab Costs 		$257.03
+Lab Costs
15100

SPACE MAINTAINERS, BAND TYPE
15102

Space Maintainer, Band Type, Fixed, Unilateral with Intra-alveolar attachment

 $257.03
+Lab Costs 		$257.03
+Lab Costs
15100

SPACE MAINTAINERS, BAND TYPE
15103

Space Maintainer, Band Type, Fixed, Bilateral (soldered lingual arch)

 $342.71
+Lab Costs 		$342.71
+Lab Costs
15100

SPACE MAINTAINERS, BAND TYPE
15104

Space Maintainer, Band Type, Fixed, Bilateral (soldered lingual arch), with Teeth Attached

 $342.71
+Lab Costs 		$342.71
+Lab Costs
15100

SPACE MAINTAINERS, BAND TYPE
15105

Space Maintainer, Band Type, Fixed, Bilateral Tubes and Locking Wire

 $342.71
+Lab Costs 		$342.71
+Lab Costs
15000

SPACE MAINTAINERS
15200

SPACE MAINTAINERS, STAINLESS STEEL CROWN TYPE
15200

SPACE MAINTAINERS, STAINLESS STEEL CROWN TYPE
15201

Space Maintainer, Stainless Steel Crown Type, Fixed

 $271.64
+Lab Costs 		$271.64
+Lab Costs
15200

SPACE MAINTAINERS, STAINLESS STEEL CROWN TYPE
15202

Space Maintainer, Stainless Steel Crown Type, Fixed, with intra Alveolar Attachment

 $257.03
+Lab Costs 		$257.03
+Lab Costs
15000

SPACE MAINTAINERS
15300

SPACE MAINTAINERS, CAST TYPE
15300

SPACE MAINTAINERS, CAST TYPE
15301

Space Maintainer, Cast Type, Fixed

 Independent Consideration
+Lab Costs 		Indep. Consid.
+Lab Costs
15300

SPACE MAINTAINERS, CAST TYPE
15302

Space Maintainer, Cast Type, Fixed, with Intra Alveolar Attachment

 Independent Consideration
+Lab Costs 		Indep. Consid.
+Lab Costs
15000

SPACE MAINTAINERS
15400

SPACE MAINTAINERS, ACRYLIC, REMOVABLE
15400

SPACE MAINTAINERS, ACRYLIC, REMOVABLE
15401

Space Maintainer, Acrylic, Removable, Bilateral Clasps, Retaining Wires

 $257.03
+Lab Costs 		$257.03
+Lab Costs
15400

SPACE MAINTAINERS, ACRYLIC, REMOVABLE
15402

Space Maintainer, Acrylic, Removable, Bilateral Clasps, Retaining Wires with Teeth

 $257.03
+Lab Costs 		$257.03
+Lab Costs
15400

SPACE MAINTAINERS, ACRYLIC, REMOVABLE
15403

Space Maintainer, Acrylic Removable, No Clasps

 $257.03
+Lab Costs 		$257.03
+Lab Costs
15000

SPACE MAINTAINERS
15500

SPACE MAINTAINERS, BONDED, PONTIC TYPE
15500

SPACE MAINTAINERS, BONDED, PONTIC TYPE
15501

Space Maintainer, Bonded, Pontic Type

 $257.03
+Lab Costs 		$257.03
+Lab Costs
15000

SPACE MAINTAINERS
15600

SPACE MAINTAINERS, MAINTENANCE OF
15600

SPACE MAINTAINERS, MAINTENANCE OF
15601

Maintenance, Space Maintainer Appliances, to include: adjustment and/or recementation after 30
days from insertion

 $85.68 $85.68
15600

SPACE MAINTAINERS, MAINTENANCE OF
15602

Maintenance, Space Maintainer Appliances, addition of clasps and/or activating wires

 $171.35
+Lab Costs 		$171.35
+Lab Costs
15600

SPACE MAINTAINERS, MAINTENANCE OF
15603

Repairs, Space Maintainer Appliances (including recementation)

 $171.35
+Lab Costs 		$171.35
+Lab Costs
15600

SPACE MAINTAINERS, MAINTENANCE OF
15604

Removal of Fixed Space Maintainer Appliances by Second Dentist

 $81.78 $81.78
10000

PREVENTION
16100

FINISHING RESTORATIONS
Additional Information: Add'l Info:

To include: polishing, removal of overhangs, refining marginal ridges and occlusal surfaces, etc. (when
restorations were performed by another dentist or restorations are over two years old)
16100

FINISHING RESTORATIONS
16101

One unit of time

 $77.9 $77.9
16100

FINISHING RESTORATIONS
16102

Two units

 $155.8 $155.8
16100

FINISHING RESTORATIONS
16103

Three units

 $233.72 $233.72
16100

FINISHING RESTORATIONS
16104

Four units

 $311.62 $311.62
16100

FINISHING RESTORATIONS
16109

Each additional unit over four

 $77.9 $77.9
10000

PREVENTION
16200

DISKING OF TEETH, Interproximal
16200

DISKING OF TEETH, Interproximal
16201

One unit of time

 $73.99 $73.99
16200

DISKING OF TEETH, Interproximal
16202

Two units

 $148.02 $148.02
16200

DISKING OF TEETH, Interproximal
16203

Three units

 $222.04 $222.04
16200

DISKING OF TEETH, Interproximal
16209

Each additional unit over three

 $73.99 $73.99
10000

PREVENTION
16300

RECONTOURING OF NATURAL TEETH FOR AESTHETIC REASONS