Displaying 1601 - 1640 of 2652

69000

FIXED PROSTHETICS, OTHER SERVICES
69700

FIXED PROSTHETICS, PROVISIONAL COVERAGE (in extensive or complicated restorative dentistry)
69700

FIXED PROSTHETICS, PROVISIONAL COVERAGE (in extensive or complicated restorative dentistry)
69701

Abutment Tooth

 $291.8
+Lab Costs 		$291.8
+Lab Costs
69700

FIXED PROSTHETICS, PROVISIONAL COVERAGE (in extensive or complicated restorative dentistry)
69702

Pontic

 $96.56
+Lab Costs 		$96.56
+Lab Costs
69000

FIXED PROSTHETICS, OTHER SERVICES
69800

FIXED PROSTHODONTIC FRAMEWORKS, OSSEO-INTEGRATED IMPLANT-SUPPORTED
69800

FIXED PROSTHODONTIC FRAMEWORKS, OSSEO-INTEGRATED IMPLANT-SUPPORTED
69820

Fixed Prosthodontic Framework, Osseo-Integrated, Attached with Screws Or Cement and
Incorporating Teeth (Porcelain/Ceramic/Polymer Glass Bonded to Metal,
Acrylic/Composite/Compomer Processed to Metal or Full Metal Crowns)
69800

FIXED PROSTHODONTIC FRAMEWORKS, OSSEO-INTEGRATED IMPLANT-SUPPORTED
69820

Fixed Prosthodontic Framework, Osseo-Integrated, Attached with Screws Or Cement and
Incorporating Teeth (Porcelain/Ceramic/Polymer Glass Bonded to Metal,
Acrylic/Composite/Compomer Processed to Metal or Full Metal Crowns)
69821

Maxillary

 Independent Consideration
+Lab Costs 		Indep. Consid.
+Lab Costs
69800

FIXED PROSTHODONTIC FRAMEWORKS, OSSEO-INTEGRATED IMPLANT-SUPPORTED
69820

Fixed Prosthodontic Framework, Osseo-Integrated, Attached with Screws Or Cement and
Incorporating Teeth (Porcelain/Ceramic/Polymer Glass Bonded to Metal,
Acrylic/Composite/Compomer Processed to Metal or Full Metal Crowns)
69822

Mandibular

 Independent Consideration
+Lab Costs 		Indep. Consid.
+Lab Costs
70000

ORAL MAXILLOFACIAL SURGERY
Additional Information: Add'l Info:

The following surgical services include necessary local anaesthetic, removal of excess gingival tissue,
suturing and one post-operative treatment, when required. A surgical site is an area that lends itself to
one or more procedures. It is considered to include a full quadrant, sextant or a group of teeth or in
some cases a single tooth.
70000

ORAL MAXILLOFACIAL SURGERY
71000

REMOVALS, (EXTRACTIONS), ERUPTED TEETH
71000

REMOVALS, (EXTRACTIONS), ERUPTED TEETH
71100

REMOVALS, ERUPTED TEETH, UNCOMPLICATED
71100

REMOVALS, ERUPTED TEETH, UNCOMPLICATED
71101

Single tooth, Uncomplicated

 $140.21 $140.21
71100

REMOVALS, ERUPTED TEETH, UNCOMPLICATED
71109

Each additional tooth, same quadrant, same appointment

 $140.21 $140.21
71000

REMOVALS, (EXTRACTIONS), ERUPTED TEETH
71200

REMOVALS, ERUPTED TEETH, COMPLICATED
71200

REMOVALS, ERUPTED TEETH, COMPLICATED
71201

Odontectomy, (extraction), Erupted Tooth, Surgical Approach, Requiring Surgical Flap and/or
Sectioning of Tooth

 $252.86 $252.86
71200

REMOVALS, ERUPTED TEETH, COMPLICATED
71209

Each additional tooth, same quadrant

 $252.86 $252.86
71200

REMOVALS, ERUPTED TEETH, COMPLICATED
71210

Requiring elevation of a Flap, Removal of Bone and may include Sectioning of Tooth for Removal of
Tooth
71200

REMOVALS, ERUPTED TEETH, COMPLICATED
71210

Requiring elevation of a Flap, Removal of Bone and may include Sectioning of Tooth for Removal of
Tooth
71211

Single Tooth

 $275.7 $275.7
71200

REMOVALS, ERUPTED TEETH, COMPLICATED
71210

Requiring elevation of a Flap, Removal of Bone and may include Sectioning of Tooth for Removal of
Tooth
71219

Each Additional tooth, same quadrant

 $275.7 $275.7
70000

ORAL MAXILLOFACIAL SURGERY
72000

REMOVALS, (EXTRACTIONS), SURGICAL
72000

REMOVALS, (EXTRACTIONS), SURGICAL
72100

REMOVALS, IMPACTIONS, SOFT TISSUE COVERAGE
72100

REMOVALS, IMPACTIONS, SOFT TISSUE COVERAGE
72110

Removals, Impaction, Requiring Incision of Overlying Soft Tissue and Removal of The Tooth
72100

REMOVALS, IMPACTIONS, SOFT TISSUE COVERAGE
72110

Removals, Impaction, Requiring Incision of Overlying Soft Tissue and Removal of The Tooth
72111

Single tooth

 $252.86 $252.86
72100

REMOVALS, IMPACTIONS, SOFT TISSUE COVERAGE
72110

Removals, Impaction, Requiring Incision of Overlying Soft Tissue and Removal of The Tooth
72119

Each additional tooth, same quadrant

 $252.86 $252.86
72000

REMOVALS, (EXTRACTIONS), SURGICAL
72200

REMOVALS, IMPACTIONS, INVOLVING TISSUE AND/OR BONE COVERAGE
72200

REMOVALS, IMPACTIONS, INVOLVING TISSUE AND/OR BONE COVERAGE
72210

Removals, Impaction, Requiring Incision of Overlying Soft Tissue, Elevation of A Flap and Either
Removal of Bone and Tooth Or Sectioning and Removal of Tooth
72200

REMOVALS, IMPACTIONS, INVOLVING TISSUE AND/OR BONE COVERAGE
72210

Removals, Impaction, Requiring Incision of Overlying Soft Tissue, Elevation of A Flap and Either
Removal of Bone and Tooth Or Sectioning and Removal of Tooth
72211

Single tooth

 $374.97 $374.97
72200

REMOVALS, IMPACTIONS, INVOLVING TISSUE AND/OR BONE COVERAGE
72210

Removals, Impaction, Requiring Incision of Overlying Soft Tissue, Elevation of A Flap and Either
Removal of Bone and Tooth Or Sectioning and Removal of Tooth
72219

Each additional tooth, same quadrant

 $374.97 $374.97
72200

REMOVALS, IMPACTIONS, INVOLVING TISSUE AND/OR BONE COVERAGE
72220

Removals, Impaction, Requiring Incision of Overlying Soft Tissue, Elevation of A Flap, Removal of
Bone and Sectioning of Tooth For Removal
72200

REMOVALS, IMPACTIONS, INVOLVING TISSUE AND/OR BONE COVERAGE
72220

Removals, Impaction, Requiring Incision of Overlying Soft Tissue, Elevation of A Flap, Removal of
Bone and Sectioning of Tooth For Removal
72221

Single tooth

 $499.98 $499.98
72200

REMOVALS, IMPACTIONS, INVOLVING TISSUE AND/OR BONE COVERAGE
72220

Removals, Impaction, Requiring Incision of Overlying Soft Tissue, Elevation of A Flap, Removal of
Bone and Sectioning of Tooth For Removal
72229

Each additional tooth, same quadrant

 $499.98 $499.98
72200

REMOVALS, IMPACTIONS, INVOLVING TISSUE AND/OR BONE COVERAGE
72230

Removals, Impactions, Requiring Inaision of Overlying Soft Tissue, Elevation of A Flap, Removal of
Bone, And/Or Sectioning of The Tooth For Removal And/Or Presents Unusual Difficulties And
Circumstances
72200

REMOVALS, IMPACTIONS, INVOLVING TISSUE AND/OR BONE COVERAGE
72230

Removals, Impactions, Requiring Inaision of Overlying Soft Tissue, Elevation of A Flap, Removal of
Bone, And/Or Sectioning of The Tooth For Removal And/Or Presents Unusual Difficulties And
Circumstances
72231

Single tooth

 $681.66 $681.66
72200

REMOVALS, IMPACTIONS, INVOLVING TISSUE AND/OR BONE COVERAGE
72230

Removals, Impactions, Requiring Inaision of Overlying Soft Tissue, Elevation of A Flap, Removal of
Bone, And/Or Sectioning of The Tooth For Removal And/Or Presents Unusual Difficulties And
Circumstances
72239

Each additional tooth, same quadrant

 $681.66 $681.66
72200

REMOVALS, IMPACTIONS, INVOLVING TISSUE AND/OR BONE COVERAGE
72240

Coronectomy (Deliberate Vital Root Retention)
72200

REMOVALS, IMPACTIONS, INVOLVING TISSUE AND/OR BONE COVERAGE
72240

Coronectomy (Deliberate Vital Root Retention)
72241

Coronectomy (Deliberate Vital Root Retention of Unerupted Mandibular Molar)

 Independent Consideration Indep. Consid.
72200

REMOVALS, IMPACTIONS, INVOLVING TISSUE AND/OR BONE COVERAGE
72240

Coronectomy (Deliberate Vital Root Retention)
72242

Coronectomy (Deliberate Vital Root Retention to prevent Complications Associated with Extraction)

 Independent Consideration Indep. Consid.
72000

REMOVALS, (EXTRACTIONS), SURGICAL
72300

REMOVALS, (EXTRACTIONS), RESIDUAL ROOTS
72300

REMOVALS, (EXTRACTIONS), RESIDUAL ROOTS
72310

Removals, Residual Roots, Erupted
72300

REMOVALS, (EXTRACTIONS), RESIDUAL ROOTS
72310

Removals, Residual Roots, Erupted
72311

First tooth

 $115.74 $115.74
72300

REMOVALS, (EXTRACTIONS), RESIDUAL ROOTS
72310

Removals, Residual Roots, Erupted
72319

Each additional tooth, same quadrant

 $115.74 $115.74