Displaying 2361 - 2400 of 2652

81200

APPLIANCES, FIXED OR CEMENTED

81240

Appliance, Fixed, Cross-Bite Correction - Posterior

81241

Appliance, Maxillary

$349.31
+Lab Costs
$349.31
+Lab Costs
81200

APPLIANCES, FIXED OR CEMENTED

81240

Appliance, Fixed, Cross-Bite Correction - Posterior

81242

Appliance, Mandibular

$349.31
+Lab Costs
$349.31
+Lab Costs
81200

APPLIANCES, FIXED OR CEMENTED

81240

Appliance, Fixed, Cross-Bite Correction - Posterior

81243

Appliance, Two-Molar Band, Hooked and Elastics

$279.91
+Lab Costs
$279.91
+Lab Costs
81200

APPLIANCES, FIXED OR CEMENTED

81250

Appliance, Fixed, Dental Arch Expansion

81200

APPLIANCES, FIXED OR CEMENTED

81250

Appliance, Fixed, Dental Arch Expansion

81251

Appliance, Maxillary

$436.95
+Lab Costs
$436.95
+Lab Costs
81200

APPLIANCES, FIXED OR CEMENTED

81250

Appliance, Fixed, Dental Arch Expansion

81252

Appliance, Mandibular

$436.95
+Lab Costs
$436.95
+Lab Costs
81200

APPLIANCES, FIXED OR CEMENTED

81250

Appliance, Fixed, Dental Arch Expansion

81253

Appliance, Maxillary, Rapid Expansion

$349.31
+Lab Costs
$349.31
+Lab Costs
81200

APPLIANCES, FIXED OR CEMENTED

81260

Appliance, Fixed, Closure of Diastemas

81200

APPLIANCES, FIXED OR CEMENTED

81260

Appliance, Fixed, Closure of Diastemas

81261

Appliance, Maxillary, Simple

$349.31
+Lab Costs
$349.31
+Lab Costs
81200

APPLIANCES, FIXED OR CEMENTED

81260

Appliance, Fixed, Closure of Diastemas

81262

Appliance, Mandibular, Simple

$349.31
+Lab Costs
$349.31
+Lab Costs
81200

APPLIANCES, FIXED OR CEMENTED

81270

Appliance, Fixed, Alignment of Incisor Teeth

81200

APPLIANCES, FIXED OR CEMENTED

81270

Appliance, Fixed, Alignment of Incisor Teeth

81271

Appliance, Maxillary, Simple

$436.95
+Lab Costs
$436.95
+Lab Costs
81200

APPLIANCES, FIXED OR CEMENTED

81270

Appliance, Fixed, Alignment of Incisor Teeth

81272

Appliance, Mandibular, Simple

$436.94
+Lab Costs
$436.94
+Lab Costs
81200

APPLIANCES, FIXED OR CEMENTED

81280

Appliances, Fixed, Ligatures

81200

APPLIANCES, FIXED OR CEMENTED

81280

Appliances, Fixed, Ligatures

81281

Grassline or Elastic Ligatures per visit

$87.38
+Lab Costs
$87.38
+Lab Costs
81200

APPLIANCES, FIXED OR CEMENTED

81290

Appliances, Fixed, Mechanical Eruption of Tooth/Teeth

81200

APPLIANCES, FIXED OR CEMENTED

81290

Appliances, Fixed, Mechanical Eruption of Tooth/Teeth

81291

Appliance, Maxillary, Impaction

$349.31
+Lab Costs
$349.31
+Lab Costs
81200

APPLIANCES, FIXED OR CEMENTED

81290

Appliances, Fixed, Mechanical Eruption of Tooth/Teeth

81292

Appliance, Mandibular, Impaction

$349.31
+Lab Costs
$349.31
+Lab Costs
81200

APPLIANCES, FIXED OR CEMENTED

81290

Appliances, Fixed, Mechanical Eruption of Tooth/Teeth

81293

Appliance, Maxillary, Erupted

$349.31
+Lab Costs
$349.31
+Lab Costs
81200

APPLIANCES, FIXED OR CEMENTED

81290

Appliances, Fixed, Mechanical Eruption of Tooth/Teeth

81294

Appliance, Mandibular, Erupted

$349.31
+Lab Costs
$349.31
+Lab Costs
80000

ORTHODONTICS

83000

APPLIANCES, RETENTION, ORTHODONTIC RETAINING APPLIANCES

83000

APPLIANCES, RETENTION, ORTHODONTIC RETAINING APPLIANCES

83100

APPLIANCES, REMOVABLE, RETENTION

83100

APPLIANCES, REMOVABLE, RETENTION

83101

Appliance, Maxillary

$262.16
+Lab Costs
$262.16
+Lab Costs
83100

APPLIANCES, REMOVABLE, RETENTION

83102

Appliance, Mandibular

$262.16
+Lab Costs
$262.16
+Lab Costs
83100

APPLIANCES, REMOVABLE, RETENTION

83103

Appliance, Tooth Positioner

$262.16
+Lab Costs
$262.16
+Lab Costs
83000

APPLIANCES, RETENTION, ORTHODONTIC RETAINING APPLIANCES

83200

APPLIANCES, FIXED/CEMENTED, RETENTION

83200

APPLIANCES, FIXED/CEMENTED, RETENTION

83201

Appliance, Maxillary

$349.31
+Lab Costs
$349.31
+Lab Costs
83200

APPLIANCES, FIXED/CEMENTED, RETENTION

83202

Appliance, Mandibular

$349.31
+Lab Costs
$349.31
+Lab Costs
80000

ORTHODONTICS

84000

Comprehensive orthodontic treatment, case type - fixed appliance, PERMANENT DENTITION

Additional Information: Add'l Info:

(includes formal full banded treatment and retention)
The range of fees with these procedure codes reflects such variables as length of time required to
complete the treatment, degree of difficulty, co-operation of the patient, etc. and the fee charged
should be determined accordingly.

84000

Comprehensive orthodontic treatment, case type - fixed appliance, PERMANENT DENTITION

84101

Class l Malocclusion

$3495.67 - 10487.01
+Lab Costs
$3495.67 - 10487.01
+Lab Costs
84000

Comprehensive orthodontic treatment, case type - fixed appliance, PERMANENT DENTITION

84201

Class ll Malocclusion

$5243.5 - 13982.71
+Lab Costs
$5243.5 - 13982.71
+Lab Costs
84000

Comprehensive orthodontic treatment, case type - fixed appliance, PERMANENT DENTITION

84301

Class lll Malocclusions

$5243.5 - 13982.71
+Lab Costs
$5243.5 - 13982.71
+Lab Costs
84000

Comprehensive orthodontic treatment, case type - fixed appliance, PERMANENT DENTITION

84401

Malocclusions Not Requiring Complete Banding

$1747.83 - 4369.59
+Lab Costs
$1747.83 - 4369.59
+Lab Costs
80000

ORTHODONTICS

85000

Comprehensive orthodontic treatment, case type - fixed appliance, MIXED DENTITION

Additional Information: Add'l Info:

(includes formal full banded treatment and retention)
The range of fees with these procedure codes reflects such variables as length of time required to
complete the treatment, degree of difficulty, co-operation of the patient, etc. and the fee charged
should be determined accordingly.

85000

Comprehensive orthodontic treatment, case type - fixed appliance, MIXED DENTITION

85101

Class l Malocclusion

$3495.67 - 10487.01
+Lab Costs
$3495.67 - 10487.01
+Lab Costs
85000

Comprehensive orthodontic treatment, case type - fixed appliance, MIXED DENTITION

85201

Class ll Malocclusion

$5243.5 - 13982.71
+Lab Costs
$5243.5 - 13982.71
+Lab Costs
85000

Comprehensive orthodontic treatment, case type - fixed appliance, MIXED DENTITION

85301

Class lll Malocclusion

$5243.5 - 13982.71
+Lab Costs
$5243.5 - 13982.71
+Lab Costs
80000

ORTHODONTICS

87000

Comprehensive orthodontic treatment, case type - removable appliances, PERMANENT DENTITION

Additional Information: Add'l Info:

(includes removable appliance therapy and retention; e.g. functional appliances)

87000

Comprehensive orthodontic treatment, case type - removable appliances, PERMANENT DENTITION

87101

Class l Malocclusion

Independent Consideration
+Lab Costs
Indep. Consid.
+Lab Costs
87000

Comprehensive orthodontic treatment, case type - removable appliances, PERMANENT DENTITION

87201

Class ll Malocclusion

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