Displaying 881 - 920 of 2652

34400

SURGICAL SERVICES, MISCELLANEOUS
34440

Surgery, Endodontic, Exploratory
34443

Maxillary Molar

 $466.16 $466.16
34400

SURGICAL SERVICES, MISCELLANEOUS
34440

Surgery, Endodontic, Exploratory
34444

Mandibular Anterior

 $279.28 $279.28
34400

SURGICAL SERVICES, MISCELLANEOUS
34440

Surgery, Endodontic, Exploratory
34445

Mandibular Bicuspid

 $371.67 $371.67
34400

SURGICAL SERVICES, MISCELLANEOUS
34440

Surgery, Endodontic, Exploratory
34446

Mandibular Molar

 $466.16 $466.16
34400

SURGICAL SERVICES, MISCELLANEOUS
34450

Removal, Intentional, of Tooth, Apical Filling and Replantation (splinting additional)
34400

SURGICAL SERVICES, MISCELLANEOUS
34450

Removal, Intentional, of Tooth, Apical Filling and Replantation (splinting additional)
34451

Single rooted tooth

 $388.58 $388.58
34400

SURGICAL SERVICES, MISCELLANEOUS
34450

Removal, Intentional, of Tooth, Apical Filling and Replantation (splinting additional)
34452

Two rooted tooth

 $584.43 $584.43
34400

SURGICAL SERVICES, MISCELLANEOUS
34450

Removal, Intentional, of Tooth, Apical Filling and Replantation (splinting additional)
34453

Three rooted tooth or more

 $778.22 $778.22
34000

PERIAPICAL SERVICES
34500

PERFORATIONS
34500

PERFORATIONS
34510

Perforation/Rerorptive Defect(s), Pulp Chamber Repair, Or Root Repair, Non-Surgical
34500

PERFORATIONS
34510

Perforation/Rerorptive Defect(s), Pulp Chamber Repair, Or Root Repair, Non-Surgical
34511

per tooth

 $84.46 $84.46
34500

PERFORATIONS
34520

Perforation/Rerorptive Defect(s), Pulp Chamber Repair, Or Root Repair, Surgical
34500

PERFORATIONS
34520

Perforation/Rerorptive Defect(s), Pulp Chamber Repair, Or Root Repair, Surgical
34521

Anterior Tooth

 $92.39 $92.39
34500

PERFORATIONS
34520

Perforation/Rerorptive Defect(s), Pulp Chamber Repair, Or Root Repair, Surgical
34522

Bicuspid Tooth

 $185.28 $185.28
34500

PERFORATIONS
34520

Perforation/Rerorptive Defect(s), Pulp Chamber Repair, Or Root Repair, Surgical
34523

Molar Tooth

 $277.19 $277.19
34000

PERIAPICAL SERVICES
34600

ENLARGEMENT, CANAL AND/OR PULP CHAMBER (Preparation of Post Space)
34600

ENLARGEMENT, CANAL AND/OR PULP CHAMBER (Preparation of Post Space)
34601

In Previously Filled Tooth when Root Canal Treatment Done by Another Practitioner

 $88.42 $88.42
34600

ENLARGEMENT, CANAL AND/OR PULP CHAMBER (Preparation of Post Space)
34602

In Calcified Canals

 $266.34 $266.34
30000

ENDODONTICS
39000

ENDODONTIC, PROCEDURES, MISCELLANEOUS
39000

ENDODONTIC, PROCEDURES, MISCELLANEOUS
39100

ISOLATION OF ENDODONTIC TOOTH/TEETH FOR ASEPSIS
39100

ISOLATION OF ENDODONTIC TOOTH/TEETH FOR ASEPSIS
39101

Banding and/or Coronal Buildup of Tooth/Teeth and/or Contouring of Tissue Surrounding Tooth/Teeth
to Maintain Aseptic Operating Field (per tooth)

 $166.84 $166.84
39000

ENDODONTIC, PROCEDURES, MISCELLANEOUS
39200

OPEN AND DRAIN (Separate Emergency Procedures)
39200

OPEN AND DRAIN (Separate Emergency Procedures)
39201

Anteriors and Bicuspids

 $79.47 $79.47
39200

OPEN AND DRAIN (Separate Emergency Procedures)
39202

Molars

 $79.47 $79.47
39200

OPEN AND DRAIN (Separate Emergency Procedures)
39210

Opening Through Artificial Crown (In addition to Procedures)
39200

OPEN AND DRAIN (Separate Emergency Procedures)
39210

Opening Through Artificial Crown (In addition to Procedures)
39211

Anteriors and Bicuspids

 $87.81 $87.81
39200

OPEN AND DRAIN (Separate Emergency Procedures)
39210

Opening Through Artificial Crown (In addition to Procedures)
39212

Molars

 $87.81 $87.81
39000

ENDODONTIC, PROCEDURES, MISCELLANEOUS
39300

BLEACHING, NON VITAL
39300

BLEACHING, NON VITAL
39310

Bleaching Endodontically Treated Tooth/Teeth
39300

BLEACHING, NON VITAL
39310

Bleaching Endodontically Treated Tooth/Teeth
39311

One unit of time

 $84.46 $84.46
39300

BLEACHING, NON VITAL
39310

Bleaching Endodontically Treated Tooth/Teeth
39312

Two units

 $169.97 $169.97
39300

BLEACHING, NON VITAL
39310

Bleaching Endodontically Treated Tooth/Teeth
39313

Three units

 $255.5 $255.5
39300

BLEACHING, NON VITAL
39310

Bleaching Endodontically Treated Tooth/Teeth
39319

Each additional unit over three

 $84.46 $84.46
39000

ENDODONTIC, PROCEDURES, MISCELLANEOUS
39400

EXPLORATORY ACCESS THROUGH CLINICAL CROWN OF PREVIOUSLY TREATED TOOTH
39400

EXPLORATORY ACCESS THROUGH CLINICAL CROWN OF PREVIOUSLY TREATED TOOTH
39410

Exploratory Access
39400

EXPLORATORY ACCESS THROUGH CLINICAL CROWN OF PREVIOUSLY TREATED TOOTH
39410

Exploratory Access
39411

Anterior

 $75.5 $75.5
39400

EXPLORATORY ACCESS THROUGH CLINICAL CROWN OF PREVIOUSLY TREATED TOOTH
39410

Exploratory Access
39412

Bicuspid

 $75.5 $75.5
39400

EXPLORATORY ACCESS THROUGH CLINICAL CROWN OF PREVIOUSLY TREATED TOOTH
39410

Exploratory Access
39413

Molar

 $158.57 $158.57
40000

PERIODONTICS
Additional Information: Add'l Info:

In the treatment of periodontal diseases, variables such as the severity of the patient's periodontal
condition and the distribution (i.e. extent) of the condition may require a relatively wide selection of
therapeutic procedures and involve considerable variation in time and expense. In most instances the
time required to perform a certain procedure could, and usually does, vary from one quadrant to
another and therefore the amounts of time as outlined in the following guide could vary in the
management of a particular case.
40000

PERIODONTICS
41000

PERIODONTAL SERVICES, NON SURGICAL