Radiation Protection Shield (extra-oral)

Radiation Protection Shield (intra-oral)

Radiation Cone Locator

Prosthesis, Stents, Decompression

Decompression Stent, Localized

Decompression Stent, (prosthesis extra)

PROSTHESIS, ORTHOPEDIC

Orthopedic Prosthesis (extraoral)

Orthopedic Prosthesis (intraoral)

PROSTHODONTICS - FIXED

Initial description:
Fixed prosthodontic therapy requires the use of a variety of technical and therapeutic procedures
depending on the nature of the problems presented in each individual case. The range of these
procedures extends into many areas of treatment in order to provide comprehensive therapy for the
patient. Many of the procedures used vary considerably in their difficulty, time, involvement and
expense. The amount of time involved in a procedure may vary considerably from those outlined in
the following guide. Fixed Bridges (each abutment, each retainer and each pontic, constitutes a
separate unit in the bridge, with a separate code number).

PONTICS, BRIDGE

PONTICS, CAST METAL

Pontics, Cast Metal

Pontics, Cast Metal Framework with Separate Porcelain/Ceramic/Polymer Glass Jacket Pontic

Pontics, Prefabricated Attachable Facing

Pontics, Retentive Bar, Pre-fabricated or Custom (Dolder or Hader) Bar Attached to Retainer

Pontics, Retentive Bar, Pre-fabricated or Custom (Dolder or Hader) Bar, Attached to Implant-
supported Retainer to Retain Removable Prosthesis, Each Bar

PONTICS, PORCELAIN/CERAMIC/POLYMER GLASS

Pontics, Porcelain/Ceramic/Polymer Glass, Fused to Metal

Pontics, Porcelain/Ceramic/Polymer Glass, Aluminous

PONTICS, ACRYLIC/COMPOSITE /COMPOMER

Pontics, Acrylic/Composite/Compomer, Processed to Metal

Pontics, Acrylic/Composite/Compomer, Indirect (Provisional)

Pontics, Acrylic/Composite/Compomer, Bonded to adjacent Teeth Direct (Provisional)

Pontics, Acyrilic/Composite/Compomer

PONTICS, NATURAL TOOTH

Pontics, Natural Tooth Crown, Direct, Bonded to Adjacent Teeth (Provisional)

RECONTOURING OF RETAINER/PONTICS, (of existing bridgework)

One unit of time

Each additional unit of time

MASTER CAST TECHNIQUES

MASTER CAST, TECHNIQUES, MAXILLO-MANDIBULAR REGISTRATIONS

Master Cast Techniques, True Hinge Axis Registration and Transfer

One unit of time

Each additional unit of time

Master Cast Techniques, Centric Registration Recording

One unit of time

Each additional unit of time

Master Cast Techniques, Three Dimensional Recordings of Mandibular Movement (Pantograph or
Stereograph)

One unit of time