Displaying 1521 - 1560 of 2652

66700

REPAIRS, FIXED BRIDGE/PROSTHESIS
66710

Repairs, Fixed Bridge/Prosthesis, Porcelain/Ceramic/Polymer Glass/Acrylic/Composite/Compomer,
Direct
66711

First tooth

 $174.78 $174.78
66700

REPAIRS, FIXED BRIDGE/PROSTHESIS
66710

Repairs, Fixed Bridge/Prosthesis, Porcelain/Ceramic/Polymer Glass/Acrylic/Composite/Compomer,
Direct
66719

Each additional tooth

 $174.78 $174.78
66700

REPAIRS, FIXED BRIDGE/PROSTHESIS
66720

Repairs, Solder Indexing To Repair Broken Solder Joint
66700

REPAIRS, FIXED BRIDGE/PROSTHESIS
66720

Repairs, Solder Indexing To Repair Broken Solder Joint
66721

One unit of time

 $88.64
+Lab Costs 		$88.64
+Lab Costs
66700

REPAIRS, FIXED BRIDGE/PROSTHESIS
66720

Repairs, Solder Indexing To Repair Broken Solder Joint
66729

Each additional unit of time

 $88.64 $88.64
66700

REPAIRS, FIXED BRIDGE/PROSTHESIS
66730

Repair Fractured Porcelain/Metal Pontic With Telescoping Type Crown (pontic prepared, impression
made and processed crown seated over metal)
66700

REPAIRS, FIXED BRIDGE/PROSTHESIS
66730

Repair Fractured Porcelain/Metal Pontic With Telescoping Type Crown (pontic prepared, impression
made and processed crown seated over metal)
66731

First pontic

 $467.56
+Lab Costs 		$467.56
+Lab Costs
66700

REPAIRS, FIXED BRIDGE/PROSTHESIS
66730

Repair Fractured Porcelain/Metal Pontic With Telescoping Type Crown (pontic prepared, impression
made and processed crown seated over metal)
66739

Each additional pontic

 $457.12 $457.12
60000

PROSTHODONTICS - FIXED
67000

FIXED BRIDGE RETAINERS
Additional Information: Add'l Info:

It is appropriate to use Fixed Bridge Retainer codes, rather than codes for single tooth restorations,
where two, or more single tooth inlays/onlays or crowns are joined (Splinted) together and do not
support a pontic
67000

FIXED BRIDGE RETAINERS
67100

RETAINERS, ACRYLIC/COMPOSITE/ COMPOMER WITH, OR WITHOUT CAST OR PREFABRICATED
METAL BASES
67100

RETAINERS, ACRYLIC/COMPOSITE/ COMPOMER WITH, OR WITHOUT CAST OR PREFABRICATED
METAL BASES
67110

Retainers, Acrylic, Composite/Compomer, Indirect
67100

RETAINERS, ACRYLIC/COMPOSITE/ COMPOMER WITH, OR WITHOUT CAST OR PREFABRICATED
METAL BASES
67110

Retainers, Acrylic, Composite/Compomer, Indirect
67111

Retainers, Acrylic, Composite/Compomer, Indirect

 $682.29
+Lab Costs 		$682.29
+Lab Costs
67100

RETAINERS, ACRYLIC/COMPOSITE/ COMPOMER WITH, OR WITHOUT CAST OR PREFABRICATED
METAL BASES
67110

Retainers, Acrylic, Composite/Compomer, Indirect
67112

Retainers, Acrylic, Composite/Compomer, Complicated, Indirect

 $877.52
+Lab Costs 		$877.52
+Lab Costs
67100

RETAINERS, ACRYLIC/COMPOSITE/ COMPOMER WITH, OR WITHOUT CAST OR PREFABRICATED
METAL BASES
67110

Retainers, Acrylic, Composite/Compomer, Indirect
67113

Retainers, Acrylic, Composite/Compomer, Provisional, Indirect (lab fabricated/relined intra-orally)

 $291.82
+Lab Costs 		$291.82
+Lab Costs
67100

RETAINERS, ACRYLIC/COMPOSITE/ COMPOMER WITH, OR WITHOUT CAST OR PREFABRICATED
METAL BASES
67110

Retainers, Acrylic, Composite/Compomer, Indirect
67115

Retainers, Acrylic, Composite/Compomer, Implant-supported Indirect

 $682.29
+Lab Costs 		$682.29
+Lab Costs
67100

RETAINERS, ACRYLIC/COMPOSITE/ COMPOMER WITH, OR WITHOUT CAST OR PREFABRICATED
METAL BASES
67120

Retainers, Acrylic, Compsite/Compomer, Direct (provisional during healing, done at chair-side)
67100

RETAINERS, ACRYLIC/COMPOSITE/ COMPOMER WITH, OR WITHOUT CAST OR PREFABRICATED
METAL BASES
67120

Retainers, Acrylic, Compsite/Compomer, Direct (provisional during healing, done at chair-side)
67121

Retainers, Acrylic, Composite/Compomer, Direct (provisional during healing, done at chair-side )

 $192.1
+Material Expenses 		$192.1
+Mater. Exp.
67100

RETAINERS, ACRYLIC/COMPOSITE/ COMPOMER WITH, OR WITHOUT CAST OR PREFABRICATED
METAL BASES
67120

Retainers, Acrylic, Compsite/Compomer, Direct (provisional during healing, done at chair-side)
67125

Retainers, Acrylic, Composite/Compomer, (provisional during healing, done at chair-side), Implant-
supported, Direct

 $193.14
+Material Expenses 		$193.14
+Mater. Exp.
67100

RETAINERS, ACRYLIC/COMPOSITE/ COMPOMER WITH, OR WITHOUT CAST OR PREFABRICATED
METAL BASES
67130

Retainers, Acrylic, Composite/Compomer, Cast Metal Base, Indirect
67100

RETAINERS, ACRYLIC/COMPOSITE/ COMPOMER WITH, OR WITHOUT CAST OR PREFABRICATED
METAL BASES
67130

Retainers, Acrylic, Composite/Compomer, Cast Metal Base, Indirect
67131

Retainer, Compomer/Composite Resin/Acrylic, Processed to Cast Metal, Indirect

 $667.24
+Lab Costs 		$667.24
+Lab Costs
67100

RETAINERS, ACRYLIC/COMPOSITE/ COMPOMER WITH, OR WITHOUT CAST OR PREFABRICATED
METAL BASES
67130

Retainers, Acrylic, Composite/Compomer, Cast Metal Base, Indirect
67135

Retainer, Compomer/Composite Resin/Acrylic, Processed to Metal, Indirect, Implant-supported

 $711.08
+Lab Costs
+Material Expenses 		$711.08
+Lab Costs
+Mater. Exp.
67100

RETAINERS, ACRYLIC/COMPOSITE/ COMPOMER WITH, OR WITHOUT CAST OR PREFABRICATED
METAL BASES
67160

Retainers, Acrylic/Composite/Compomer, Two surface Inlay, Indirect Bonded
67100

RETAINERS, ACRYLIC/COMPOSITE/ COMPOMER WITH, OR WITHOUT CAST OR PREFABRICATED
METAL BASES
67160

Retainers, Acrylic/Composite/Compomer, Two surface Inlay, Indirect Bonded
67161

Retainers, Acrylic/Composite/Compomer, Two surface Inlay, bonded, Indirect

 $610.54
+Lab Costs 		$610.54
+Lab Costs
67100

RETAINERS, ACRYLIC/COMPOSITE/ COMPOMER WITH, OR WITHOUT CAST OR PREFABRICATED
METAL BASES
67170

Retainers, Acrylic/Composite/Compomer, Three surface Inlay, Bonded, Indirect
67100

RETAINERS, ACRYLIC/COMPOSITE/ COMPOMER WITH, OR WITHOUT CAST OR PREFABRICATED
METAL BASES
67170

Retainers, Acrylic/Composite/Compomer, Three surface Inlay, Bonded, Indirect
67171

Retainers, Acrylic/Composite/Compomer, Three surface Inlay, bonded, Indirect

 $752.53
+Lab Costs 		$752.53
+Lab Costs
67100

RETAINERS, ACRYLIC/COMPOSITE/ COMPOMER WITH, OR WITHOUT CAST OR PREFABRICATED
METAL BASES
67180

Retainers, Acrylic/Composite/Compomer, Onlay, Bonded, Indirect
67100

RETAINERS, ACRYLIC/COMPOSITE/ COMPOMER WITH, OR WITHOUT CAST OR PREFABRICATED
METAL BASES
67180

Retainers, Acrylic/Composite/Compomer, Onlay, Bonded, Indirect
67181

Retainers, Acrylic/Composite/Compomer, Onlay, Bonded, Indirect

 $895.46
+Lab Costs 		$895.46
+Lab Costs
67000

FIXED BRIDGE RETAINERS
67200

RETAINER, PORCELAIN/CERAMIC/POLYMER GLASS
67200

RETAINER, PORCELAIN/CERAMIC/POLYMER GLASS
67201

Retainer, Porcelain/Ceramic/Polymer Glass

 $1031.15
+Lab Costs 		$1031.15
+Lab Costs
67200

RETAINER, PORCELAIN/CERAMIC/POLYMER GLASS
67202

Retainer, Porcelain/Ceramic/Polymer Glass, Complicated

 $1048.52
+Lab Costs 		$1048.52
+Lab Costs
67200

RETAINER, PORCELAIN/CERAMIC/POLYMER GLASS
67205

Retainer, Porcelain/Ceramic/Polymer Glass, Implant-supported

 $1031.15
+Lab Costs
+Material Expenses 		$1031.15
+Lab Costs
+Mater. Exp.
67200

RETAINER, PORCELAIN/CERAMIC/POLYMER GLASS
67210

Retainers, Porcelain/Ceramic/Polymer Glass, Fused To Metal Base
67200

RETAINER, PORCELAIN/CERAMIC/POLYMER GLASS
67210

Retainers, Porcelain/Ceramic/Polymer Glass, Fused To Metal Base
67211

Retainers, Porcelain/Ceramic/Polymer Glass, Fused to Metal Base

 $942.03
+Lab Costs 		$942.03
+Lab Costs
67200

RETAINER, PORCELAIN/CERAMIC/POLYMER GLASS
67210

Retainers, Porcelain/Ceramic/Polymer Glass, Fused To Metal Base
67212

Retainers, Porcelain/Ceramic/Polymer Glass, Fused to Metal Base, Complicated

 $1048.52
+Lab Costs 		$1048.52
+Lab Costs
67200

RETAINER, PORCELAIN/CERAMIC/POLYMER GLASS
67210

Retainers, Porcelain/Ceramic/Polymer Glass, Fused To Metal Base
67215

Retainers, Porcelain/Ceramic/Polymer Glass, Fused to Metal Base, Implant-supported

 $942.03
+Lab Costs
+Material Expenses 		$942.03
+Lab Costs
+Mater. Exp.
67200

RETAINER, PORCELAIN/CERAMIC/POLYMER GLASS
67220

Retainers, Porcelain/Ceramic/Polymer Glass, Partial Coverage, Bonded (External Retention- e.g.
“Maryland Bridge”)
67200

RETAINER, PORCELAIN/CERAMIC/POLYMER GLASS
67220

Retainers, Porcelain/Ceramic/Polymer Glass, Partial Coverage, Bonded (External Retention- e.g.
“Maryland Bridge”)
67221

Retainer, Porcelain/Ceramic/Polymer Glass, Partial Coverage, Bonded (External Retention- e.g.
“Maryland Bridge”)

 $571.92
+Lab Costs 		$571.92
+Lab Costs
67200

RETAINER, PORCELAIN/CERAMIC/POLYMER GLASS
67230

Retainers, Porcelain/Ceramic/Polymer Glass, Two surface Inlay, Bonded
67200

RETAINER, PORCELAIN/CERAMIC/POLYMER GLASS
67230

Retainers, Porcelain/Ceramic/Polymer Glass, Two surface Inlay, Bonded
67231

Retainers, Porcelain/Ceramic/Polymer Glass, Two surface Inlay, Bonded

 $660.29
+Lab Costs 		$660.29
+Lab Costs
67200

RETAINER, PORCELAIN/CERAMIC/POLYMER GLASS
67240

Retainers, Porcelain/Ceramic/Polymer Glass, Three surface Inlay, Bonded