Displaying 721 - 760 of 2652

29100

RECEMENTATION/REBONDING, INLAYS/ONLAYS/ CROWNS/VENEERS/POSTS/ NATURAL TOOTH
FRAGMENTS (single units only) (+ L and/or +E where laboratory charges or expenses are incurred
during repair of the unit)
29102

Two units

 $179.37
+Lab Costs
+Material Expenses 		$179.37
+Lab Costs
+Mater. Exp.
29100

RECEMENTATION/REBONDING, INLAYS/ONLAYS/ CROWNS/VENEERS/POSTS/ NATURAL TOOTH
FRAGMENTS (single units only) (+ L and/or +E where laboratory charges or expenses are incurred
during repair of the unit)
29103

Three units

 $269.07
+Lab Costs
+Material Expenses 		$269.07
+Lab Costs
+Mater. Exp.
29100

RECEMENTATION/REBONDING, INLAYS/ONLAYS/ CROWNS/VENEERS/POSTS/ NATURAL TOOTH
FRAGMENTS (single units only) (+ L and/or +E where laboratory charges or expenses are incurred
during repair of the unit)
29104

Four units

 $358.75
+Lab Costs
+Material Expenses 		$358.75
+Lab Costs
+Mater. Exp.
29000

RESTORATIVE SERVICES, OTHER
29300

REMOVAL, INLAYS/ONLAYS, CROWNS, VENEERS (single units only)
29300

REMOVAL, INLAYS/ONLAYS, CROWNS, VENEERS (single units only)
29301

One unit of time

 $88.64 $88.64
29300

REMOVAL, INLAYS/ONLAYS, CROWNS, VENEERS (single units only)
29302

Two units

 $177.28 $177.28
29300

REMOVAL, INLAYS/ONLAYS, CROWNS, VENEERS (single units only)
29303

Three units

 $265.94 $265.94
29300

REMOVAL, INLAYS/ONLAYS, CROWNS, VENEERS (single units only)
29304

Four units

 $354.58 $354.58
29000

RESTORATIVE SERVICES, OTHER
29400

STAINING PORCELAIN (chairside)
29400

STAINING PORCELAIN (chairside)
29401

One unit of time

 $90.73
+Lab Costs 		$90.73
+Lab Costs
29400

STAINING PORCELAIN (chairside)
29402

Two units

 $182.5
+Lab Costs 		$182.5
+Lab Costs
29400

STAINING PORCELAIN (chairside)
29403

Three units

 $273.25
+Lab Costs 		$273.25
+Lab Costs
29400

STAINING PORCELAIN (chairside)
29404

Four units

 $365.02
+Lab Costs 		$365.02
+Lab Costs
30000

ENDODONTICS
Additional Information: Add'l Info:

General Endodontic Procedures
There are certain Endodontic cases, which, as a result of a previous treatment, tooth position,
anatomy and/or stage of development, require additional time and care. Such situations could merit
an additional fee. Conservative root canal therapy includes treatment plan, clinical procedures with
appropriate follow up care. Excludes final restoration.
Note: If Endodontic therapy is not completed it would be deemed reasonable to charge a portion of
the suggested fee in relation to time expended in the procedure.
30000

ENDODONTICS
31100

PULP CAPPING (refer to code 20100)
30000

ENDODONTICS
32000

PULP CHAMBER, TREATMENT OF, (excluding final restoration)
32000

PULP CHAMBER, TREATMENT OF, (excluding final restoration)
32200

PULPOTOMY
32200

PULPOTOMY
32220

Pulpotomy, Permanent Teeth (as a separate Emergency Procedure)
32200

PULPOTOMY
32220

Pulpotomy, Permanent Teeth (as a separate Emergency Procedure)
32221

Anterior and Bicuspid Teeth

 $166.84 $166.84
32200

PULPOTOMY
32220

Pulpotomy, Permanent Teeth (as a separate Emergency Procedure)
32222

Molar Teeth

 $166.84 $166.84
32200

PULPOTOMY
32230

Pulpotomy, Primary Teeth
32200

PULPOTOMY
32230

Pulpotomy, Primary Teeth
32231

Primary Tooth, as a Separate Procedure

 $158.92 $158.92
32200

PULPOTOMY
32230

Pulpotomy, Primary Teeth
32232

Primary Tooth, Concurrent with Restoration (but excluding final restoration)

 $82.3 $82.3
32000

PULP CHAMBER, TREATMENT OF, (excluding final restoration)
32300

PULPECTOMY (An emergency procedure and/or as a pre-emptive phase to the preparation of the
root canal system for obturation)
32300

PULPECTOMY (An emergency procedure and/or as a pre-emptive phase to the preparation of the
root canal system for obturation)
32310

Pulpectomy, Permanent Teeth/Retained Primary Teeth
32300

PULPECTOMY (An emergency procedure and/or as a pre-emptive phase to the preparation of the
root canal system for obturation)
32310

Pulpectomy, Permanent Teeth/Retained Primary Teeth
32311

One Canal

 $151.24 $151.24
32300

PULPECTOMY (An emergency procedure and/or as a pre-emptive phase to the preparation of the
root canal system for obturation)
32310

Pulpectomy, Permanent Teeth/Retained Primary Teeth
32312

Two Canals

 $193.98 $193.98
32300

PULPECTOMY (An emergency procedure and/or as a pre-emptive phase to the preparation of the
root canal system for obturation)
32310

Pulpectomy, Permanent Teeth/Retained Primary Teeth
32313

Three Canals

 $261.8 $261.8
32300

PULPECTOMY (An emergency procedure and/or as a pre-emptive phase to the preparation of the
root canal system for obturation)
32310

Pulpectomy, Permanent Teeth/Retained Primary Teeth
32314

Four Canals or more

 $286.82 $286.82
32300

PULPECTOMY (An emergency procedure and/or as a pre-emptive phase to the preparation of the
root canal system for obturation)
32320

Pulpectomy, Primary Teeth
32300

PULPECTOMY (An emergency procedure and/or as a pre-emptive phase to the preparation of the
root canal system for obturation)
32320

Pulpectomy, Primary Teeth
32321

Anterior Tooth

 $128.27 $128.27
32300

PULPECTOMY (An emergency procedure and/or as a pre-emptive phase to the preparation of the
root canal system for obturation)
32320

Pulpectomy, Primary Teeth
32322

Posterior Tooth

 $231.53 $231.53
30000

ENDODONTICS
33000

ROOT CANAL THERAPY
Additional Information: Add'l Info:

To include: treatment plan, clinical procedures (ie. pulpectomy, biomechanical preparation,
chemotherapeutic treatment and obturation), with appropriate radiographs, excluding final
restoration.
33000

ROOT CANAL THERAPY
33100

ROOT CANALS, PERMANENT TEETH/RETAINED PRIMARY TEETH (Includes: Clinical procedures with
appropriate radiographs, excluding final restoration.)
Additional Information: Add'l Info:

Definitions:
Uncomplicated - Virtually straight canal penetrated by size #15 file
Difficult Access - Limited jaw opening, unfavourable tooth inclination, through complex restorations
eg. Post/core buildups.
Exceptional Anatomy - Canal size same as uncomplicated, but made complicated by dens-in-dente or
partially developed roots, internal/external resorption.
Calcified Canals - Unable to penetrate with size #10 file and not clearly discernible on a radiograph
Retreatment - Retreatment of previously completed therapy
33100

ROOT CANALS, PERMANENT TEETH/RETAINED PRIMARY TEETH (Includes: Clinical procedures with
appropriate radiographs, excluding final restoration.)
33110

Root Canals, Permanent Teeth/Retained Primary Teeth, One Canal
33100

ROOT CANALS, PERMANENT TEETH/RETAINED PRIMARY TEETH (Includes: Clinical procedures with
appropriate radiographs, excluding final restoration.)
33110

Root Canals, Permanent Teeth/Retained Primary Teeth, One Canal
33111

One canal

 $691.15 $691.15
33100

ROOT CANALS, PERMANENT TEETH/RETAINED PRIMARY TEETH (Includes: Clinical procedures with
appropriate radiographs, excluding final restoration.)
33110

Root Canals, Permanent Teeth/Retained Primary Teeth, One Canal
33112

Difficult Access

 $917.61 $917.61
33100

ROOT CANALS, PERMANENT TEETH/RETAINED PRIMARY TEETH (Includes: Clinical procedures with
appropriate radiographs, excluding final restoration.)
33110

Root Canals, Permanent Teeth/Retained Primary Teeth, One Canal
33113

Exceptional Anatomy

 $938.49 $938.49
33100

ROOT CANALS, PERMANENT TEETH/RETAINED PRIMARY TEETH (Includes: Clinical procedures with
appropriate radiographs, excluding final restoration.)
33110

Root Canals, Permanent Teeth/Retained Primary Teeth, One Canal
33114

Calcified Canal

 $964.59 $964.59
33100

ROOT CANALS, PERMANENT TEETH/RETAINED PRIMARY TEETH (Includes: Clinical procedures with
appropriate radiographs, excluding final restoration.)
33110

Root Canals, Permanent Teeth/Retained Primary Teeth, One Canal
33115

Retreatment of Previously Completed Therapy

 $933.94 $933.94