Displaying 201 - 240 of 2652

04900

CASTS, DIAGNOSTIC (technical procedure only)

04940

Casts, Diagnostic, Miscellaneous Procedures

04943

Custom Incisal Guide Table

Independent Consideration
+Lab Costs
Indep. Consid.
+Lab Costs
00000

DIAGNOSTIC

05000

CASE PRESENTATION/TREATMENT PLANNING

05000

CASE PRESENTATION/TREATMENT PLANNING

05100

TREATMENT PLANNING

Additional Information: Add'l Info:

(This service is only for extra time spent on unusually complicated cases or where the patient
demands unusual time in explanation or where diagnostic material is received from another source.
Usual case presentation time and usual treatment planning time are implicit in the examination fee
and diagnosis fee in the radiographic interpretation fee.)

05100

TREATMENT PLANNING

05101

One unit of time

$77.9 $77.9
05100

TREATMENT PLANNING

05102

Two units

$155.8 $155.8
05100

TREATMENT PLANNING

05103

Three units

$233.72 $233.72
05100

TREATMENT PLANNING

05104

Four units

$311.62 $311.62
05100

TREATMENT PLANNING

05109

Each additional unit over four

$77.9 $77.9
05000

CASE PRESENTATION/TREATMENT PLANNING

05200

CONSULTATION, with patient

05200

CONSULTATION, with patient

05201

One unit of time

$81.03 $81.03
05200

CONSULTATION, with patient

05202

Two units

$162.06 $162.06
05200

CONSULTATION, with patient

05209

Each additional unit over two

$81.03 $81.03
00000

DIAGNOSTIC

07000

RADIOGRAPHS, CONE BEAM COMPUTERIZED TOMOGRAPHY (CBCT)

07000

RADIOGRAPHS, CONE BEAM COMPUTERIZED TOMOGRAPHY (CBCT)

07010

Radiographs, CBCT, Acquisition

07000

RADIOGRAPHS, CONE BEAM COMPUTERIZED TOMOGRAPHY (CBCT)

07010

Radiographs, CBCT, Acquisition

07011

Small field of view (e.g. sextant or part of; isolated temporomandibular joint)

$103.69 $103.69
07000

RADIOGRAPHS, CONE BEAM COMPUTERIZED TOMOGRAPHY (CBCT)

07010

Radiographs, CBCT, Acquisition

07012

Large field of view (1 arch)

$124.07 $124.07
07000

RADIOGRAPHS, CONE BEAM COMPUTERIZED TOMOGRAPHY (CBCT)

07010

Radiographs, CBCT, Acquisition

07013

Large field of view (2 arches)

$194.6 $194.6
07000

RADIOGRAPHS, CONE BEAM COMPUTERIZED TOMOGRAPHY (CBCT)

07020

Radiographs, CBCT, Image Processing

07000

RADIOGRAPHS, CONE BEAM COMPUTERIZED TOMOGRAPHY (CBCT)

07020

Radiographs, CBCT, Image Processing

07021

One unit of time

Independent Consideration Indep. Consid.
07000

RADIOGRAPHS, CONE BEAM COMPUTERIZED TOMOGRAPHY (CBCT)

07020

Radiographs, CBCT, Image Processing

07022

Two units

Independent Consideration Indep. Consid.
07000

RADIOGRAPHS, CONE BEAM COMPUTERIZED TOMOGRAPHY (CBCT)

07020

Radiographs, CBCT, Image Processing

07027

One half unit of time

Independent Consideration Indep. Consid.
07000

RADIOGRAPHS, CONE BEAM COMPUTERIZED TOMOGRAPHY (CBCT)

07020

Radiographs, CBCT, Image Processing

07029

Each additional unit over two

Independent Consideration Indep. Consid.
07000

RADIOGRAPHS, CONE BEAM COMPUTERIZED TOMOGRAPHY (CBCT)

07030

Radiographs, CBCT, Interpretation

07000

RADIOGRAPHS, CONE BEAM COMPUTERIZED TOMOGRAPHY (CBCT)

07030

Radiographs, CBCT, Interpretation

07031

One unit of time

$85.68 $85.68
07000

RADIOGRAPHS, CONE BEAM COMPUTERIZED TOMOGRAPHY (CBCT)

07030

Radiographs, CBCT, Interpretation

07032

Two units of time

$171.35 $171.35
07000

RADIOGRAPHS, CONE BEAM COMPUTERIZED TOMOGRAPHY (CBCT)

07030

Radiographs, CBCT, Interpretation

07037

One half unit of time

$42.83 $42.83
07000

RADIOGRAPHS, CONE BEAM COMPUTERIZED TOMOGRAPHY (CBCT)

07030

Radiographs, CBCT, Interpretation

07039

Each additional unit over two

$85.68 $85.68
07000

RADIOGRAPHS, CONE BEAM COMPUTERIZED TOMOGRAPHY (CBCT)

07040

Radiographs, CBCT, Acquisition, Processing and Interpretation

07000

RADIOGRAPHS, CONE BEAM COMPUTERIZED TOMOGRAPHY (CBCT)

07040

Radiographs, CBCT, Acquisition, Processing and Interpretation

07041

Small field of view (sextant or part of; isolated temporomandibular joint)

$189.37 $189.37
07000

RADIOGRAPHS, CONE BEAM COMPUTERIZED TOMOGRAPHY (CBCT)

07040

Radiographs, CBCT, Acquisition, Processing and Interpretation

07042

Large field of view (1 arch)

$209.75 $209.75
07000

RADIOGRAPHS, CONE BEAM COMPUTERIZED TOMOGRAPHY (CBCT)

07040

Radiographs, CBCT, Acquisition, Processing and Interpretation

07043

Large field of view (2 arches)

$280.28 $280.28
10000

PREVENTION

10000

PREVENTION

11100

POLISHING

11100

POLISHING

11101

One unit of time

$62.46 $62.46
11100

POLISHING

11102

Two units

$124.92 $124.92
11100

POLISHING

11107

One half unit

$31.23 $31.23
11100

POLISHING

11110

SCALING

11100

POLISHING

11110

SCALING

11111

One unit of time

$70.1 $70.1
11100

POLISHING

11110

SCALING

11112

Two units

$140.2 $140.2
11100

POLISHING

11110

SCALING

11113

Three units

$210.3 $210.3